**Pre-Applications submitted AFTER March 20 will be put on a wait list for admission**

Pre-Application for Upward Bound

WELCOME! We are glad you found our pre-application. You are on your way to joining a FUN and ENGAGING academic and college readiness experience!

Please complete the following information to the best of your ability. All items with a star (*) are required. After submitting the pre-application, we will send you information in the mail to complete.

Student Information:

Last Name *
LEGAL First Name *
PREFERRED First Name *
Middle Name
Date of Birth *
Gender *
Student Pronouns Used *
Mailing Address *
Mailing Address Line 2
City *
State *
Zip *
Student Cell Phone Number
Email *
Are you a U.S. citizen? (Must be to be eligible) *
How did you hear about us? If an Upward Bound student referred you, please indicate their name. *

Academic Info:


Current Grade Level *
Which school are you currently in? *

Family Information:
With whom do you live? *
If you answered "Relative" or "Other," please explain who you live with.
How many people are in your household? *
Parent/Guardian 1 First and Last Name *
Parent/Guardian 1 Relationship *
Parent/Guardian 1 Cell
Parent/Guardian 1 Email
Parent/Guardian 2 First/Last Name (Leave blank if only 1 Parent/Guardian)
Parent/Guardian 2 Relationship
Parent/Guardian 2 Cell
Parent/Guardian 2 Email
Family Taxable Income Range (Leave blank if you don't know)
Does at least one of your BIOLOGICAL or ADOPTIVE parents have a 4-year Bachelor's college degree or higher? *

Would you like us to forward your information to the UW-Stevens Point admissions office so they may contact you when it comes time to applying to colleges? *
If you have any questions, please list them here.