Application – Upward Bound


Please note that in order for your application to be considered, all sections of the application must be completed including the Student Section, Parent Section, School Record Release Form, and the Teacher Recommendation Form. Please note that incomplete applications will NOT be considered. Upward Bound is federally funded, so if you are selected for an interview, additional information including a copy of your parents 2020 tax return or other income information will be required. All information is held in the strictest confidence.

Application - Upward Bound 2021-2022

  • Please include area code. If no home phone, please use 0's (000-000-0000)
  • Please include area code. If no cell phone, please use 0's (000-000-0000)
    Student must be U.S. Citizen or Permanent Resident to be eligible for Upward Bound.
    The United States Department of Education requires our program to collect data on participants' race and ethnicity.
  • A link to the Code of Conduct and Honor can be found here: https://web.tusculum.edu/trio/ub/application-links/code-conduct-honor/
  • https://web.tusculum.edu/trio/ub/application-links/computer-use-policy/
  • This may include: Newsletters, Videos, Website, Handbook, Brochures, Newspaper and all social media sites.
  • This section must be completed by the student.
  • Please include area code. If not applicable, please use 0's Example: (000) 000-0000.
  • If this does not apply to you, please indicate N/A
  • Please include area code. If not applicable, please use 0's Example: (000) 000-0000.
  • If this does not apply to you, please indicate N/A
  • Drop files here or
    If you cannot upload your tax return, we can accept paper copies or emailed copies as well. hhenley@tusculum.edu
  • Drop files here or
    If you cannot upload your tax return, we can accept paper copies or emailed copies as well. hhenley@tusculum.edu
  • The information we need is your family's taxable income NOT your total annual income. (Usually line 43 on a 1040.)
    If your student is selected and you did not file a tax return this year you will need to complete an Income Verification form.
  • A link to the Computer Use Policy can be found here: https://web.tusculum.edu/trio/ub/application-links/computer-use-policy/
  • A link to the Code of Conduct and Honor can be found here: https://web.tusculum.edu/trio/ub-math-science/code-conduct-honor/
  • A link to the USDA Non-Discrimination Statement can be found here: https://web.tusculum.edu/trio/ub/application-links/usda-non-discrimination-statement/
  • This may include: Newsletters, Videos, Website, Handbook, Brochures, Newspaper and all social media sites.
  • This section must be completed by the parent(s)/guardian(s)