University Of Wisconsin-Milwaukee-VUB-Application Form

  • Veterans Upward Bound Application

  • Completion of the following is required for reporting and verification purposes. Responses are kept confidential and are only shared with the Department of Education per reporting requirements. As a grant recipient of the US Department of Education, Veterans Upward Bound (VUB) is committed to the guidelines provided under The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) which is a Federal law that protects the privacy of student education records. Veterans Upward Bound will not disclose your personal identifiable information to any third-party without your prior written consent. Please answer each section accurately and completely.

  • Date of Birth*
     - -
  • Sex*
  • May we text you?*
  • U.S. Citizen or Permanent U.S. Resident?*
  • Ethnic/Racial Origin. Hispanic/Latino?*
  • Please select on of these five choices*
  • Are you receiving VA Disability?*
  • The number of individuals currently living in my household and/or claimed as dependents (including yourself) is:*
  • Employment Status*

  • Instructions:

    Make sure you only use your taxable income (do not count disability benefit pay!).

    To determine your taxable income, refer to your last federal tax return. It is your income after all of your deductions.

  • Taxable Income:*

  • MILITARY SERVICE

  • Select one of the following:*
  • Branch of service (Choose one)*
  • Type of discharge (Choose one)*
  • Date Entered Service*
     - -
  • Date of Separation*
     - -
  • Do you have military education benefits?*

  • EDUCATION INFORMATION

  • Do either of your parents have a 4-year degree attained in the United States?*
  • Highest education level completed:*
  • Have you been out of school for 5 or more years?*
  • Are you currently enrolled or attending school?*
  • Date Started?*
     - -
  • Are you confident in completing a college application?*
  • Do you have an idea of what federal and/or state education benefits you may qualify for and where to get additional information?*
  • Do you understand how to apply for FAFSA and how it works with VA education benefits?*
  • Do you know where to find tutoring or academic support on campus?*
  • Do you know where to find support services like academic advising, mental health counseling, or disability services?*
  • Academic Need: (Select all that apply)*
  • Obstacles that may interfere with Class Attendance (Select all that apply)*
  • What is your field of Interest?*
  • Associate/Bachelor's Degree

  • STUDENT CONTRACT

  • How did you hear about Veterans Upward Bound?*

  • Link to handbook

    I certify that I read the Veterans Upward Bound Student Handbook and agree to abide by the expectations outlined within the handbook while I participate in the program.

  • Clear

  • I certify that the information on this form is true and accurate to the best of my knowledge. I also grant Veterans Upward Bound permission to obtain and review any academic documents needed to complete the application process and that is pertinent to my participation in the program. This may include certification of my prior and/or current school/college attendance.

  • Clear
  • Date*
     - -
    • Submit 
    • Should be Empty: