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2020-2021 UC Irvine Upward Bound Application Form
Upward Bound serves: high school students from low-income families; and high school students from families in which neither parent holds a bachelor's degree. The goal of Upward Bound is to increase the rate at which participants complete secondary education and enroll in and graduate from institutions of postsecondary education.
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Applicant Information
First Name
*
Your answer
Last Name
*
Your answer
Middle Initial
Your answer
Date of Birth
*
MM/DD/YY
Your answer
Gender
*
Male
Female
High School
*
High School that you will/have already attended
Anaheim High School
Loara High School
Katella High School
Current Grade Level (2020-2021 academic year)
*
UB is recruiting students who are currently in the 8th, 9th, and 10th grades only
Your answer
Student ID
*
Your answer
Cumulative High School Academic GPA
*
GPA can be found on Aeries or your transcript.
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Student Telephone Number (xxx-xxx-xxxx)
*
Cell and/or home phone number
Your answer
Parent Telephone Number (xxx-xxx-xxxx)
*
Cell and/or home phone number
Your answer
Email (Applicants are required to create a Gmail account)
*
If you do not already have one, please visit:
gmail.com
and select create an account. Make sure it is appropriate.
Your answer
Alternate Email
Your answer
Racial Category
*
(Check as many as apply)
Hispanic / Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other:
Required
Are you a US Citizen or Eligible Non-Citizen?
*
Yes
No
Do you have a valid Social Security Number?
*
Please note, this is required to participate in the Upward Bound program and YOU WILL NEED to provide a COPY of the applicant social security card.
Yes
No
Are you a first-generation college student?
*
To be considered a first-generation college student, the applicant's parent/guardian must have never obtained a bachelor's degree.
Yes
No
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