University Of Notre Dame-UB-Application Form

The U.S. Department of Education’s TRIO Programs are federal outreach and student services programs designed to assist young people from income-eligible families and potential first-generation college students as they progress through middle school and high school to college and beyond. The University of Notre Dame proudly hosts two of TRIO’s college access and preparatory programs: Talent Search and Upward Bound. We invite you to apply for the Upward Bound Program below:

Name

First NameMiddle NameLast Name

Date of Birth

mm-dd-yyyy

Gender:

Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Best Daytime Telephone Number:

(999)999-9999

Student Cell Number:

(999)999-9999

Student Email Address:

example@example.com

Citizenship

A#

Race & Ethnicity (Check all that apply)

Are you Hispanic or Latino/a?

Current Academic Grade Level

Current High School or High School That You Plan to Attend (if currently in 8th grade)

In which subject areas did you pass the 8th grade standardized state test?

What is your cumulative GPA for the most recent school year you have completed?

Are you currently a TRIO Talent Search participant?

Name of Parent/Legal Guardian with whom the student lives (1)

First NameLast Name

Name of Parent/Legal Guardian with whom the student lives (2)

First NameLast Name

Parent/Guardian Phone Number:

Parent/Guardian 1:

(999)999-9999

Parent/Guardian 2:

(999)999-9999

Parent/Guardian Email Address:

Parent/Guardian 1:

example@example.com

Parent/Guardian 2:

example@example.com

Have any of the parent(s)/legal guardian(s) with whom the student lives completed a four year college degree?

Household Income

Please enter the amount of your TAXABLE INCOME for the most recent tax year below. This amount can be found on IRS Tax Form 1040, line 15. This information is required by the Department of Education per our federal grant. If you did not file taxes, please enter 0 in the box.

Taxable Income Amount: (Form 1040 – Line 15)

Number of people who live in the student’s household, including the student:

If you filed taxes for 2024, please upload the first two pages of your 1040 tax form. If you did not file taxes for 2024, please provide one of the following alternative forms of documentation: a signed statement from the student's parent or legal guardian regarding family income; verification of family income from another governmental source; or a signed financial aid application. (Please note that submitting an alternative form of documentation may delay the processing of your application.)

My signature below certifies that the above information is correct. I understand that this information is confidential and will only be used to verify my student's eligibility for this program. TRIO Upward Bound operates under the authority of the Higher Education Act of 1965 as amended by the Higher Education Opportunity Act of 2008.

Signature of Parent/Guardian:

Date:

mm-dd-yyyy

You will receive a confirmation email once this application has been submitted.

Upward Bound Program Application

STUDENT INFORMATION:

Academic Background

FAMILY INFORMATION:

Educational Background