UVM TRIO Upward Bound is an educational program designed to support limited-income students who would be first generation in their families to attend college (neither parent attended college). We provide free college and career advisement, tutoring services, and extracurricular opportunities to help prepare students for pursuing a college degree.

 If you are interested in applying, please fill out this application and remember to tell us which teacher you want to fill out your Teacher Recommendation Form (preferably a Math, Science, English, or Social Studies teacher).

First Name *
Middle Name *
Last Name *
School Email Address *
Are you a participant in any VSAC Outreach programs (Talent Search or GearUp)? *
Name of Your School *
Current Grade Level *
Gender *
The pronouns I use are... *
Date of Birth *
Age *
Social Security Number
The race I identify as... *
Residency Status *
Home Address (be sure to include apartment number if applicable) *
Home Phone Number *
I live with... *
Lanuage(s) spoken at home *
Student's Cell Phone Number (if you have one)
Parent/Guardian #1 Name *
Parent/Guardian #1 Employer
Parent/Guardian #1 Email Address
Parent/Guardian #2 Name *
Parent/Guardian #2 Employer
Parent/Guardian #2 Email Address
How many people are in your current household (you + parents/guardians + siblings)? *
Your family's TAXABLE INCOME, as reported in last year's Federal Income Tax Return (Form 1040, Line 10): *
Tax Filling Status for 2020 *
Please find the size of your family in the chart above and look at the income cutoff to the right. Is your family's income above or below this amount? *
Have any of the parents/guardians you live with currently graduated with a 4 year college degree? *
Please tell us which teacher(s) you would like to fill out your recommendation form for Upward Bound (preferably from math, science, social studies, or English). *
What is the best way to get in contact with you quickly? Options: email, text, phone call, Instagram, other app-based messaging services.... *
I (the student's parent/guardian) certify that the information above is true and accurate as reported. I also grant permission for my child's school to release transcripts, report cards, test scores and other academic records, which is a requirement of participation. My high school or college may continue to release these records to Upward Bound in perpetuity for U.S. Department of Education-mandated reporting purposes. *
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Signature: (Type in your full name)
I agree to the terms included.
I (the student) certify that the information above is true and accurate as reported. I also grant permission for my child's school to release transcripts, report cards, test scores and other academic records, which is a requirement of participation. My high school or college may continue to release these records to Upward Bound in perpetuity for U.S. Department of Education-mandated reporting purposes. *
Signature Type: Simple    Start Over
Click here to start signing.
  • Pencil
  • Reset
Signature: (Type in your full name)
I agree to the terms included.