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:
Student First Name *
Last Name *
Address *
Local City *
Local State *
Local Zip *
Date of Birth *
Race/Ethnicity *
Gender *
Student Email
Student Cell Phone # *
Current High School *
Grade Level *
School ID Number *
Have you passed the Algebra 1 EOC? *
Have you passed the FSA or FAST? *
Graduating Year *

Student Personal Responses:
How can the Upward Bound Programs assist you as a participant? Feel free to elaborate more in the next question. *
What would you like Upward Bound to help you with? *
What subjects do you need tutoring in?
Select one option below that represents the highest level of education, that you the student, expects to complete: *
Why would a college education benefit you? *
Tell us your future goals and aspirations *
Graduation Progress Summary or Transcript *
Weighted GPA *
Unweighted GPA *
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
Best Time to Call a Parent *
Household Size *
Household Income Range *
Taxable Income Amount (Found on line 43 on Form 1049) *
Income Tax Document
Sign and Submit:
Applicant Signature *
Please select a signature verification type.

TRIO

Upward Bound