Oklahoma State University-Oklahoma City-UB-Application Form

Upward Bound Application
For more information please contact:
Upward Bound
900 N. Portland Ave.
Oklahoma City, OK 73107
Phone (405) 945-8623
Fax (405) 945-8628
osuokc.edu/upwardbound

Upward Bound is a Federally funded TRIO program. TRIO programs are funded under Title IV of the Higher Education Act of 1965 to help students overcome class, social, academic and cultural barriers to higher education.
- ELIGIBILITY CRITERIA
  - Attend Western Heights or Putnam City West high schools
  - Be in the 8th, 9th, 10th or 11th grade
  - Be between the ages of 13 and 19
  - Have a desire to go to college
  - Be a U.S. citizen, national of the U.S., a permanent resident of the U.S., or in the U.S. for other than a temporary purpose and provide evidence from Immigration and Naturalization Service of intent to become a permanent citizen.
  - Be a potential first-generation college student (no parent, guardian or sibling in the immediate household has earned a baccalaureate degree) AND/OR meet the federal income guidelines below.
  Federal TRIO Programs 2026 Annual Low-Income Levels
  Size of Family Family’s Taxable Income is this amount or less
  
  1 $23,940
  2 $32,460
  3 $40,980
  4 $49,500
  5 $58,020
  6 $66,540
  7 $75,060
  8 $83,580
  
  For family units with more than 8 members, add $8,520 for each additional family member.
- APPLICATION INSTRUCTIONS
  
  Complete online application on website or attached forms.
  Submit following to Upward Bound office at address on cover page.
  1. With the help of your parent(s) complete and submit online or paper Application. Information received in the Upward Bound office is confidential and used for record keeping purposes only.
  2. Submit with application or at interview ONE of the following for Income Verification:
    
    Signed copy of parent/guardian’s most recent federal tax return
    
    Verification of current public assistance from a government source (such as AFDC, SNAP, Social Security benefits)
  3. Submit or have school send ALL of the following Academic Information:
    
    8th grade Oklahoma School Testing Program (OSTP) scores in reading and math
    
    Grade report for 8th grade
    
    Recent high school transcript
    
    Copy of Individual Education Plan, if student has one
  4. Submit the Student Recommendation Form completed by a teacher, counselor, employer or community member who is not related to the applicant.
  5. Submit with application or at interview a copy of student’s Social Security card.
  If you are selected for an interview, you will be contacted by Upward Bound to set up an appointment.
  
  If you do not have access to copier, copies of required documents can be made at the Upward Bound office.
- STUDENT INFORMATION
- Name
  
  First NameLast Name
- Gender
- Birthdate
  
  MonthDayYear
  mm-dd-yyyy
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone
  (999)999-9999
- Is this a cell phone?
- Email
  example@example.com
- School
- Grade
- Graduation Year
- Please answer BOTH ethnic and race questions:
- Ethnic Group: Are you of Hispanic or Latino origin?
- Race (Indicate all that apply)
- If American Indian/Alaskan Native, list Tribe:
- Is student a citizen or permanent resident of the U.S. ?
- How did you learn about Upward Bound?
- Are you currently a participant in TRIO Educational Talent Search?
- Are you currently a participant in GEAR UP?
- Please provide the name and email of a Teacher to recommend your for the Upward Bound Program.
- Teacher Name
  
  First NameLast Name
- Teacher Email
  example@example.com
- STUDENT HOUSEHOLD INFORMATION
- Check all that apply:
- Name: Parent/Guardian #1
  
  First NameLast Name
- Relationship to student
- Employer/Occupation
- Phone
  (999)999-9999
- Is this a cell?
- E-mail address
  example@example.com
- Lives with applicant?
- Highest educational level obtained:
  
  Other
- Name: Parent/Guardian #2
  
  First NameLast Name
- Relationship to student
- Employer/Occupation
- Phone
  (999)999-9999
- Is this a cell?
- E-mail address
  example@example.com
- Lives with applicant?
- Highest educational level obtained:
  
  Other
- List household members who are or have participated in Upward Bound and where:
- Besides the people listed above who else lives in your household?
- VERIFICATION OF INCOME
  
  Federal regulations require verification of family income as part of the application process for Upward Bound. Documents may be submitted with application or presented at student interview.
- Number of people in household
- Select how you will verify annual income:
- Taxable Income amount listed on Federal Tax Return
- Provide signed copy of most recent year’s Federal Tax Return (pages 1 & 2)
  
  Browse Files
  
  Cancelof
- Total earnings (Gross Income) for the previous tax year
- Sources of income:
  
  Other
- I hereby certify that the information and attached documents provided to support this application are true and correct, and I understand that deliberate misrepresentation of the information may subject me to prosecution under applicable state and federal laws.
- Parent/Guardian Name
  
  First NameLast Name
- Signature of Parent/Guardian
- Date
  
  MonthDayYear
  mm-dd-yyyy
- Parent/Guardian Name
  
  First NameLast Name
- Signature of Parent/Guardian
- Date
  
  MonthDayYear
  mm-dd-yyyy
- Student Name
  
  First NameLast Name
- Signature of Student
- Date
  
  MonthDayYear
  mm-dd-yyyy
- RECORDS RELEASE AUTHORIZATION
- I, __________________________________, authorize the OSU-OKC Upward Bound Program to obtain the school records...
  Guardian’s Full Name
- ...of ______________________ for use in educational planning. I authorize them permission to secure necessary records, report cards, test scores or student information from student’s middle, high school and career technology records.
  Student’s Full Name
- Date
  
  MonthDayYear
  mm-dd-yyyy
- Student Signature
- Guardian Signature

Upward Bound Application