For a complete Upward Bound application, please make sure you include the following:

• Copy of your students signed U.S. Social Security card
• Copy of your students U. S. birth certificate, U.S. passport, or Alien Registration Card
• Your most recent 1040 Income Tax form(a photocopy for the most recent tax year) and/or other required income verification.

If you have questions or need assistance filling out the application, please call the
Upward Bound Program office at
(520) 206-7601 or (520) 343-5966

DIRECTIONS:

• Be sure to answer all questions. 

Please check all the following UB services and activities that you need or are interested in receiving?

PERSONAL ESSAY

The personal essay is an important part of the selection process. In a 250 or more word essay (or in a two minute video of yourself) discuss ONE of the following topics. 

1. What is your purpose in applying to Upward Bound Program? What do you believe you will gain from the experience, and what contributions can you make towards the program?
2. What events or persons in your background have influenced you in your educational and career goals;
3. Discuss a personal, local, national, or international issue that concerns you.
4. What are your dreams for the future?

Teacher/Counselor Recommendation Forms
Please email the Recommendation Form Link to at least two (2) teachers or a teacher and a counselor at your high school. 

Remind your teacher(s)/counselor(s) to submit their forms within 5 days of your application submission.

https://docs.google.com/forms/d/e/1FAIpQLSeDA_QzTzG1nO4y--HZVz_iGCCNRrgYsv9X0L3k4BXTJFegcQ/viewform 

Please enter the teacher/counselors names below:

(please fill in ALL boxes)

The US Department of Education requires that Upward Bound gather this data in order to determine student eligibility. Failure to provide the necessary supporting documents will prohibit your child from being considered for acceptance. The information you provide to UB is confidential and is protected by the Privacy Act. 

2. First Generation Status: (Parent/Guardian Education Level)

3. Low-Income Status

In accordance with the TRIO Upward Bound eligibility requirements set forth by the U.S. Department of Education, I hereby certify and attest under penalty of perjury that the information I have provided on this application is true and correct to the best of my knowledge. I authorize Pima Community College Upward Bound Program access to my student’s academic and personal information through the school or district database and/or receive copies of transcripts, test scores, and any other information that may be necessary for the participation in the program. I further authorize the staff of Pima Community College Upward Bound access to my student’s college enrollment, retention, and completion information, as well as financial aid information from colleges and the federal government. I further certify that I am aware that the provision of any false, fictitious, or fraudulent information or the omission of any material fact may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims, or other violations. (U.S. Code Title 18, Section 1001; Title 20, Section 1097; and Title 31, Sections 3729-20 and 3801-3812).

The following consent shall be valid for the entire duration of my son/daughter’s participation in Upward Bound and until completion of a bachelor’s degree, or for 6 years following graduation from high school. I hereby grant permission for my son/daughter to participate in the Pima Community College – East Campus Upward Bound year round programing. I also give my consent for the following:

• For the high school where my son/daughter is enrolled to make available to the Upward Bound Program staff academic records (class schedules, test scores, transcripts, and attendance)

• Communication to obtain documentation verifying an applicant’s U.S. citizenship, or national permanent resident status, or of his or her intent to become a permanent resident.