Thank you for your interest in the UNC Upward Bound program!  Please complete this application as thoroughly as possible.  You cannot save and restart this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at (919) 962-1281.
General Information:
Last Name *
First Name *
Middle Name
Date of Birth *
Address 1 *
Address 2
City *
State *
Zip *
Home Phone
Cell Phone Number
Email
Describe your primary reason for applying
Academic Info:
Current Grade Level *
Current School Attending
Home many classes are you taking?
Do you plan on taking a College Entrance Exam this year?
If Yes, which one?
Parent / Guardian Information:
Father's Full Name
Father's Education Level
Mother's Full Name
Mother's Educational Level
With whom do you reside?
Guardian Information
If you selected "Legal Guardian/Other" above, please provide their information below, and a short description of your situation.
Guardian's Full Name
Guardian's Educational Level
Parent/Guardian Phone
Parent/Guardian Email
How many people in your household?
Line 43 on Income Tax Form 1040, line 27 on Form 1040A.
Taxable Income
Most Recent IRS 1040
Are you a citizen of the United States? *
How did you learn about Upward Bound

Transcript:

If you have a copy of your transcript please upload it here.
Transcript

Personal Statement

Please answer the following short answer questions regarding your personal, educational, and professional interests.
What are your educational goals (in high school and beyond)? What college are you interested in attending and why?
What are your career plans and how do you plan to achieve them?
Why do you wish to enroll in the UNC Upward Bound Program?
Sign and Submit:
Applicant Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number:

Parent/Guardian Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: