• STUDENT APPLICATION FOR ADMISSION
    UPWARD BOUND CLASSIC
    Academic Achievement Programs

    Buckingham Rm 53, Akron, OH 44325-7908
    PHONE:  330.972.5839

    This application is valid for the Upward Bound Classic Program at The University of Akron.  Upward Bound Classic is a federally funded TRiO program.  The Program is year-round and geared towards students with academic potential and interested in going to college after graduation from high school.  Students attending Akron Public Schools, grades 8, 9 and 10, are eligible to apply.  Students are usually admitted to the Program in the Fall, Spring, or Summer.  There is no cost to participate.

    To Parent or Legal guardian:  The personal information, including financial status and educational levels, given to Upward Bound Classic is used for reporting purposes with the U.S.  Department of Education.  This information is required to determine if your child meets federal eligibility guidelines established by regulation of the U.S. Department of Education. 

  • Unfortunately, you are not eligible for the UBC program. Please contact 330-972-5839

    • Student Information 
    • Birthday*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Gender*
    • Are you currently a participant in the Educational Talent Search Program?*
    • Are you currently a participant in the Strive Towards Excellence Program?*
    • Ethnicity*
    • Are you a US Citizen?*
    • If not, are you a Resident Alien?*
    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Student Educational, Career, and Extracurricular Information 
    • Educational Plans - List in order of preference, two occupations you think would best fit your abilities and interests if you were given the necessary education and required training*
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    • Extracurricular Activities (honors or awards, sports, volunteering)
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    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Parent and Family Information 
    • Please give the name(s) of the people who are living in your home (add additional piece of paper if necessary). Put your information in the first row ("Relation" will be "Applicant")*
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    • With whom do you live?*
    • What is the highest level of education completed by your parent(s)/guardian(s) (mark all that apply)*

    • INFORMATION TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN

      INSTRUCTIONS FOR PROVIDING VERIFICATION OF INCOME

      Foster Children or Wards of the Court: no income verification is required – provide a signed letter from foster parent or guardian detailing foster child/ward of the court status.  Include caseworker’s name, address and telephone number.

      If your parent(s) or guardian(s) file a Federal 1040 Income Tax form: provide a copy of pages 1 & 2 of last year’s form showing the number of exemptions claimed and the taxable income.  Caution – be sure to provide the form covering the correct year.  (Example, 2018)

      If your parent(s) or guardian(s) receive welfare (TANF, AFDC, General Assistance, etc.) request verification of monthly benefits.  Ask for a “Passport to Services Form” when contacting your local welfare office.

      If your parent(s) or guardian(s) receive Social Security payments (SSI, Disability, etc.) request verification of monthly benefits from your local Social Security office.

    • Does the applicant live in foster home or is he/she a ward of the court?*
    • Do you file Federal Income Taxes?*

    • Documentation of your taxable income is to be submitted for the tax year prior to the UBC application date.  If you filed electronically, please sign and date page before submitting this information.  The earlier you can submit your income information, the sooner we will be able to determine your child’s eligibility.

    • Do your parent(s)/guardian(s) receive Social Security*
    • Do your parent(s)/guardian(s) receive Welfare/TANF*
    • Do your parent(s)/guardian(s) receive Disability*
    • Do your parent(s)/guardian(s) receive Veterans Benefits*
    • Do your parent(s)/guardian(s) receive General Assistance*
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    • VERIFY INFORMATION:   By my signature below, I verify that this information is accurate and complete to the best of my knowledge.

    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Authorization for the Release of Academic Information 

    • This form is to be completed by the parent(s) or guardian(s) of the student who is applying for admission to the Upward Bound Classic Program.

       

      I hereby grant permission to {currentHigh} to disclose and deliver to the Upward Bound Classic Program at The University of Akron any and all information (transcripts, grades, attendance record, class schedule, truancy and demerit records, results of ACT, SAT, PSAT, Ohio Achievement Tests (OAT), Ohio’s State Test (OST), and other information) contained in the academic records of: 

    • Expected Graduation Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Student Photo Release Form 

    • The University of Akron

      Upward Bound Classic Program

      Student Photo Release Form
       

      I authorize The University of Akron to broadcast my appearance and/or voice and to record my picture and/or voice (on photographs, film and/or tape), to edit these recordings at its discretion, to incorporate these recordings into a broadcast medium, to use such recordings for publicity and advertising, and to use my name, photograph, likeness, voice, biographic and other information concerning me in connection thereto. I know that The University of Akron owns all rights to the aforementioned recordings, photographs and biographical materials.

      I release The University of Akron from any loss, damage and liability arising out of my appearance on photographs, film, printed materials and/or tape.

      I understand that signing this release does not guarantee publication of any photos.

    • Date
       - -
      2 digit month, 2 digit day, 4 digit year
    • Income Verification Form 2026 

    • Regarding the chart below, please select the number of people who live in your home in question one. Then select the closest amount of your taxable income in question two.

      This form must be completed for the applicant to be considered for admission into Upward Bound.

      ALL INFORMATION IS KEPT CONFIDENTIAL.

      For each additional person, add $5,500 to the taxable income bracket.

    • Size of Family Unit*
    • Taxable Income*
    • Does the family qualify for Food Stamps?*
    • Do you qualify for Public Assistance?*
    • Did you complete an Income Tax Return for the 2025 tax year?*

    • By my signature, I certify that all of the above income information is true and correct, and that all income is reported.  I understand that this information is being given for the receipt of federal funds and any misrepresentation may make the applicant ineligible for participation.

    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Date*
       - -
      2 digit month, 2 digit day, 4 digit year
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    • Application Checklist 

    • Return Application to:

      The University of Akron

      Upward Bound Classic

      Buckingham Suite 53

      Akron, Ohio 44325-7908

      (330)972-5839

      (330)972-5886(fax)

      *Completed Application*

      Must Include:

      Current Report Card with a 2.5 GPA

      School Transcript

      Counselor Recommendation Form

      Math Recommendation Form

      English Recommendation Form

      Copy of Current 1040 Federal Tax Return

      Or

      Disability/Social Security/TANF Statement

       

           *All information must be submitted to process your child’s application, or it will be put on hold*

    • Submit 
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