Thank you for your interest in our FIU TRIO Upward Bound program housed in the Office of Student Access & Success! This program is for high school students only. 

Please complete this application as thoroughly as possible.  You cannot save and continue this application.  You may want to review the included items, take some time to make notes and gather the required documents, and then return to submit your application.  If you have any questions, please call our office at 305.348.1742.

*Important! While you may fill this form out on your phone, it is best to complete this form on a computer*
Student Information:
First Name *
Last Name *
Address *
Local City *
Local State *
Local Zip *
Date of Birth *
Race/Ethnicity *
Student Email
Student Cell Phone # *
Current High School *
Grade Level *
School ID Number *
Graduating Year *

Family Information: 
Guardian 1 Name: *
Relationship to student *
Guardian Educational Level *
Guardian 1 Phone Number *
Guardian 1 Email Address
Guardian 2 Name
Relationship to student
Guardian 2 Educational Level
Guardian 2 Phone Number
Guardian 2 Email Address
Household Size *
Household Income Range *
Taxable Income Amount (Found on line 43 on Form 1049) *
Income Tax Document
Student Personal Responses:
Discuss your future goals and aspirations *
Why would a college education benefit you *
What would you like Upward Bound to help you with? *
Academic Grade History or Transcript *
Weighted GPA *
Unweighted GPA *
Sign and Submit:
Applicant Signature *
Please select a signature verification type.

TRIO

Upward Bound