Upgrade San Antonio Intake Form
If you are an adult with some college credits, and you want to go back to finish your certificate, associate, or bachelor degree, Upgrade is here to help you explore your options. You may also be currently enrolled in college working on a first undergraduate degree.
Please fill out as many of the questions below as possible so that we can serve you better, faster, and more effectively.
This form may take you 5-10 minutes to complete, but it will allow us to immediately tailor advising services to you and other opportunities.
We are excited to assist you!
We do our best to respond to your inquiry within 2 business days.
Due to COVID-19, our offices are currently closed. We are only offering appointments via Zoom or over the phone.
We look forward to assisting you!
When do you want to start classes?
Please select...
I'm Ready Today!
Within 3-6 Months
Within 6-12 Months
Next Year
Not Sure
How quickly would you like to graduate?
Please select...
Less than a Year
1-2 Years
3-5 Years
5-7 Years
Not Sure
How Did You Hear About Us?
Please select...
Ambassador referral
Career Fair
College Advisor
Community Event
Employer or union
Employment Office
Faith-Based Org/House of Worship
Flyer
Friend or Family Member
Internet
Library
Mailing
Newspaper
Other
Poster or Billboard
Public School System, K-12
Radio
Referral from another service
Staff Referral
Television
Walked by Office
What information are you interested in?
Please select...
Academic and study skills
Careers
College Selection
Credit for Work & Life Experience
Managing Outstanding College Debt
Navigating Campus Resources
Note-taking Skills
Online Courses, Tips, and Degree Options
Paying for College
Reading Strategies
Success With Returning to College
Time & Stress Management Strategies
Transferring College Courses & Credits
Where Do I Start?
Writing an Academic Essay
First Name
Middle Name
Last Name
Suffix
Email
Your email will be used to contact you for advising. You will also receive occasional newsletters, information about opportunities for Comebackers like you and requests to update your information in our records. You will always receive opt-out options for all.
Home Phone
Mobile Phone
Preferred Phone
Home
Work
Mobile
Other
Street Address
City
State
Zip Code
City Council District
Preferred Contact Method
Phone
Email
Phone or Email
What is your employment status?
Employed - 0 to 20 hours per week on average
Employed - 20 to 40 hours per week on average
Employed - 40+ hours per week on average
Not employed but looking
Not employed, not looking
Does your employer offer tuition benefits?
Yes
No
Not Sure
Current Job Title
Company
If your employer is partnering with Upgrade, please indicate City of San Antonio or Bexar County.
The following information is considered confidential by many people. We are concerned with your privacy as well. Please know that this information is used only in aggregate, for fund-raising purposes, so that we may continue to provided our services for free. We appreciate your support as you consider providing the requested information.
Categories
Please select...
White
Hispanic, Latino, or Spanish origin
Black or African American
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
Multi-racial/multi-ethnic
Some other race, ethnicity or origin
Date of Birth
mm/dd/yyyy
Gender You Identify With
Male
Female
Alternative or Other
Are you a parent?
Yes
No
If so, what are the ages of your children? (separate ages with commas)
Family Annual Income
Please select...
Up to $24,000
$24,001 - $42,000
$42,001 - $56,000
$56,001 - $75,000
$75,001 or higher
Please tell us a little about your educational experience.
What is the highest level of education you have completed?
Please select...
Some College Credits Earned, No Degree
Associates Degree Completed
Associates Degree Earned Plus Credit Towards Bachelors Degree
Bachelors Degree Completed
Masters Degree Completed
Masters Degree Completed but No Bachelors Degree
Doctorate Completed
No College
Attained other Post-Secondary or Certification
What kept you from finishing college?
Please select...
Academic Preparation
Different Learning Abilities
Finances
Fear of Particular Academic Area
Family Responsibilities
Fear of Failure
Lack of Adequate Support Systems
Transportation
Unsure of Career Goals
Work Schedule
Other
Do you currently have defaulted student loans?
Yes
No
Not Sure
Have you served in the US Armed Forces?
Yes
No
Please provide some information about your educational goals.
What type of degree are you seeking?
Please select...
2 yr degree
4 yr degree
Have 2 yr, seeking 4 yr degree
Continuing Ed/Professional Development
Undecided
Undergrad Certificate
MA
JD
PhD
Postgrad Certificate
Have 2 yr, seeking another 2 yr degree
Have 4 yr, seeking another 4 yr
Preferred Class format
Please select...
Accelerated
Evening
Weekend
Online
Combined - In person/Online
Day
Academic Area of Interest
Please select...
Undecided
Accounting
Arts, including Graphic Design
Business
Communications
Computers/Technology
Criminal Justice/Legal/Paralegal
Culinary
Education
Engineering/Math
Hospitality
Human Resources Management/Organization Development
Legal
Liberal Arts
Nursing
Pharmacy
Psychology/Social Work/Human Services
Public Administration
Science
Social Sciences
Sports/Recreation
Technician, non-health
Veterinary
Other
Healthcare
Theology/Ministry
Unknown
What is your main reason for returning to college now?
Please select...
Personal Goal
Promotion
Required by Employer
Interested in Increasing Earning Potential
Interested in Career Change
Personal Satisfaction
Interested in Obtaining a Better Job
Unknown
By submitting this form I give permission to Upgrade San Antonio to forward my information to its partner institutions for purposes of assisting with my college admissions/enrollment.
I give permission to the Admissions/Office of Enrollment Management/Registrar of the College/University I shall be attending to release to Upgrade San Antonio information verifying my enrollment status and my official transcript.
I fully understand that all information given on this application and information released to Upgrade San Antonio or its partner institutions is protected by the Federal Privacy Act and, therefore will be kept confidential. Upgrade San Antonio promises it will NEVER sell or give away personal information.
I certify that all information that I have provided on this application is accurate and true to the best of my knowledge and ability.
If you have questions now or later, please contact Elizabeth Velarde at evelarde@saedpartnership.org .
Contact Information