• Rhode Island College Upward Bound Logo

  • UPWARD BOUND PROGRAM APPLICATION 2026-2027. APPLICATION DEADLINE: Friday, November 6, 2026

  • 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 high school and thrive in higher education.

  • PLEASE USE THE CHECKLIST BELOW TO ENSURE YOUR APPLICATION IS COMPLETE

  • LIST OF REQUIRED DOCUMENTS:

  • To verify eligibility, Upward Bound REQUIRES copies of the following DOCUMENTS: STUDENT'S U.S. Citizenship /Residency – (choose one from below, as applicable and upload):
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  • PARENTS' 2025 Income Verification (choose one)– document should have the student listed as a dependent:
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  • PARENTS AND STUDENTS MUST COMPLETE AND SIGN THE FOLLOWING:
    The Certification Affidavit for Income Verification and Family Information, and
    The Release/Permission Form (last page of the application).

  • ALL ELIGIBLE STUDENTS AND A PARENT/GUARDIAN WILL BE SCHEDULED FOR A PRIVATE INTERVIEW.
  • Printed Applications are available in the guidance office of each target school. The electronic version is available on the Upward Bound website: ric.edu/deparment-directory/center-scholar-development/upwardbound
  • IF REQUIRED DOCUMENTS ARE NOT SUBMITTED, THE APPLICATION WILL BE CONSIDERED INCOMPLETE.

  • Questions? Call the UB office at (401) 456 – 8081 or email us at upwardbound401@gmail.com. Our office is located at Rhode Island College, Craig Lee Hall, Suite 049, 600 Mt. Pleasant Avenue, Providence, RI 02908.

  • Rhode Island College Upward Bound Logo

  • UPWARD BOUND PROGRAM STUDENT APPLICATION

  • DEADLINE: Friday, November 6, 2026

    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.

  • STUDENT DEMOGRAPHIC INFORMATION

  • Date of Birth:*
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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • VERIFICATION OF U.S. CITIZENSHIP/RESIDENCY (check one):*

  • LANGUAGE INFORMATION:

  • 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).

  • Regardless of your answer to the previous question, please indicate how you identify yourself.
    Check all that apply and describe your country of origin on the line provided:

  • 1. Are you Hispanic/Latino?*
  • 2. Race:*

  • American Indian or Alaska Native (including North, South, & Central America).

  • Asian (including Indian subcontinent and Philippines) .

  • Black or African American (including Africa and Caribbean) .

  • Native Hawaiian or Other Pacific Island (Original Peoples) .

  • White (including Middle Eastern):

  • EDUCATIONAL BACKGROUND ACTIVITIES, INTERESTS, & JOB INFORMATION:

  • PLEASE ANSWER THE FOLLOWING QUESTIONS:

  • Are you currently enrolled in ELD or ELL courses at your high school?*
  • Do you participate in any after-school sports/activities?*
  • Do you participate in any after-school community/volunteer activities?*
  • Do you currently work after school and/or on the weekends?*
  • Have you applied to the Upward Bound Program previously?*
  • Did any of your immediate relatives participate in the RIC Upward Bound Program?*

  • PARTICIPATION IN OTHER COLLEGE ACCESS PROGRAM: Check all that apply. If not applicable, select "None":

  • Participation in other college access programs*
  • Onward We Learn/GEAR UP: Are you still enrolled?
  • Educational Talent Search (ETS): Are you still enrolled?
  • College Visions: Are you still enrolled?
  • Other (please specify): Are you still enrolled?

  • Please upload your response to the following questions using complete sentences: Describe your short-term and long-term educational and career goals. Then explain how participation in Upward Bound will help prepare you to achieve them. Be specific about the resources, skills, opportunities, or support you hope to receive.

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  • WHICH UPWARD BOUND SERVICES WOULD BE MOST HELPFUL TO YOU? PLEASE CHECK ALL THAT APPLY:

  • Which Upward Bound services would be most helpful to you?*

  • THIS SECTION IS TO BE COMPLETED BY THE PARENT / GUARDIAN(S)

  • FAMILY INFORMATION & INCOME VERIFICATION AFFIDAVIT

  • 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 lives. If a question does not apply, please write "N/A." Note: If the applicant lives with one parent or legal guardian, provide information only for that parent. If the applicant lives with both parents or a parent and a stepparent, please include information for both.
  • With whom does the Student Live?*

  • FAMILY CONTACT INFORMATION

  • 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 and a stepparent, please include information for BOTH.

  • Parent/Legal Guardian (1): Living:*
  • Parent/Legal Guardian (1): Lives with Student:*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent/Legal Guardian (2) – if applicable: Living:
  • Parent/Legal Guardian (2) – if applicable: Lives with Student:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • FIRST GENERATION VERIFICATION:

  • FIRST GENERATION VERIFICATION: Identify the highest level of education completed in the U.S. by Parent /Legal Guardian 1 and 2 (if applicable):*
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  • INCOME VERIFICATION & HOUSEHOLD INFORMATION FOR PARENT/GUARDIAN(S)

  • 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. Department of Education. If requested, you agree to provide additional documentation to verify the information you report.

  • Federal Income Tax Filing Information for 2025

  • 1. Parent(s): Did you file a 2025 U.S. Income Tax Return?*
  • If yes, check your tax return filing status:
  • Household Information (attach a separate sheet for additional family members living in home, if needed). List full name of each person living in the household.*
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  • 2. Other sources of income (check all that apply), or if not applicable, select "None":*

  • CERTIFICATION AFFIDAVIT FOR INCOME VERIFICATION AND FAMILY INFORMATION

  • 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 with whom the student lives.
  • By signing in the spaces below, I certify that all statements in this application are true to the best of my knowledge and understanding.
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  • Rhode Island College Upward Bound Logo

  • Please continue to the Release/Permission page.

  • Rhode Island College Upward Bound Logo

  • UPWARD BOUND PROGRAM RELEASE/PERMISSION FORM 2026-2027

  • APPLICATION DEADLINE: Friday, November 6, 2026

  • 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, discipline record, individual education plans, 504 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 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 to promote, publicize, or explain 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 the above.
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