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 *

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:

Note: ONLY CURRENT 8TH TO 11TH GRADERS MAY APPLY.

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.