Printed Applications are available in the guidance office of each target school.

Questions? Call the UB office at (401) 456 - 8081 or email us at upwardbound401@gmail.com

All eligible students and a parent/guardian will be scheduled for a private interview.

ABOUT UPWARD BOUND:

Upward Bound is a TRIO program supported by a U.S. Department of Education grant. Its mission is to empower participants with the essential skills and motivation to complete their secondary education and thrive in postsecondary education programs.

 

LIST OF REQUIRED DOCUMENTS: 

• Copy of your Social Security card
• The Certification of Income and Family Information, and the Release/Permission Form (completed and signed by parent/guardian(s) and student) which is included in the application.

If necessary, to further verify eligibility, Upward Bound may request a copy of any of the following documents:

U.S  Citizenship /Residency:

• U.S. birth certificate or
• Puerto Rican birth certificate (issued after July 2010) or
• U.S. Certificate of Citizenship document or
• U.S. passport or
• Permanent Resident Card (I-551 or I-94) or
• Certificate of U.S. Naturalization (form N-550 or N-570 - both sides) or
• Document as evidence of your intent to become a permanent resident

Income Verification:

• Your parents' 2023 Federal Income Tax Form(s) pages 1 and 2 of the 1040 Form - at least one document should have the student listed as a dependent (check stubs or W-2 are not valid documents) or
• Official documentation verifying that you and/or your family are on public assistance with benefit amount or
• Official documentation from the Social Security or Veteran's Administration with benefit summary

Federal regulations require Upward Bound to collect the application data to determine if the applicant qualifies for this federally funded program. Please complete ALL sections and answer EVERY question before submitting the application.

Please write "N/A" if a question does not apply to you.

ETHNIC & RACIAL BACKGROUND: (Please respond to both questions. This information is used to report to the U.S. Department of Education and not to make admission decisions).

 

The Department of Education funds Upward Bound based on eligibility requirements. Federal regulations mandate that Upward Bound collect this information to determine if the applicant qualifies for the program.

INSTRUCTIONS: This section is to be completed by the parent or legal guardian(s) with whom the student resides. If a question does not apply, write "N/A." Note: If the applicant lives with one parent or legal guardian, provide information ONLY for that individual. If the applicant lives with both parents or a parent & a stepparent, please include information for both.

The RIC Upward Bound Program is funded by a grant from the U.S. Department of Education. Federal guidelines require that participants in the Upward Bound Program meet specific income eligibility criteria. All income information requested will be kept confidential, and records will be maintained in compliance with the Family Educational Rights and Privacy Act (FERPA) as established by the U.S. Dept. of Education. If requested, you agree to provide additional documentation to verify the information you report.

 

I certify that the information provided above is true and correct and that all income and benefits have been reported. The U.S. Department of Education, its auditors, or other officials may verify this information. I understand that any deliberate misrepresentation, falsification, or failure to provide accurate information may result in the immediate rejection of my application or dismissal from the program.

This affidavit and certification will serve as proof of income and verification of family information. Signatures are required from both the student applicant and EACH parent or legal guardian(s).

By signing in the spaces below, I certify that all statements in this application are true to the best of my knowledge and understanding.

APPLICATION DEADLINE: Friday, December 6, 2024

  1)     We, the student and parent/legal guardian(s), hereby give permission for the release of the student’s academic records. This includes, but is not limited to, courses, grades, individual education plans, standardized test scores, and proof of graduation, to the Rhode Island College Upward Bound Program. This information will be used to track the student’s progress and to compile and report data to the United States Department of Education, Office of Post-Secondary Education.
 
We understand that the United States Department of Education requires the Rhode Island College Upward Bound Program to report on the student’s academic progress for either the duration of their college graduation or for at least six years following high school graduation, even if the student does not graduate from the program. This information will also include financial aid awards and academic transcripts for each semester the student is enrolled in college.
 
2)     We, the student and the parent or legal guardian(s), hereby give permission for the Rhode Island College Upward Bound Program to share the student’s academic records and participation details with the following entities: the Public School District in which the student is enrolled, the Rhode Island Office of Elementary and Secondary Education, and the U.S. Department of Education, for legitimate educational purposes.
 
3)     We grant the Rhode Island College Upward Bound Program the right to reproduce, use, exhibit, display, broadcast, distribute, and create materials using photographs or video-recorded images of the undersigned individual. This permission is granted for the purpose of promoting, publicizing, or explaining the program and its activities.
 
This grant includes but is not limited to, the right to publish such images in college public relations and promotional materials, including marketing and admissions publications, advertisements, fundraising materials, and any other program-related publications. These images may be used across various formats and media, including social media, both currently available and those that may be developed in the future. This encompasses print, broadcast, video recording, and electronic/online/social media.
 
4)     If accepted, we grant permission for the student to receive all services offered by the Upward Bound Program. This includes, but is not limited to, meetings with Program Advisors and staff for personal and academic advising, either at the high schools or at the Program offices located on the campus of Rhode Island College.

By signing below, permission is granted for all of the above.