Upward Bound Application for Admission

Upward Bound Application for Admission

This application will play an important part in considering you for participation in the Upward Bound program. Please take the time to complete the entire application before submitting it. You will be notified after the review process has been completed.

Part I: Student Information

Name(Required)
Gender(Required)
MM slash DD slash YYYY
Address(Required)
Please enter the primary email account used by your parents/guardians.
Ethnicity(Required)

Are you a citizen or a legal resident of the U.S.?(Required)
If you respond “No,” you will be asked to provide your Alien Registration number.

Part II: Academic Information

School Attending in the Fall(Required)

9th Grade – Please attach a copy of your current grades.

10th Grade and above – Please attach a copy of your transcript from the Counselor’s Office AND a copy of your current grades.

Drop files here or
Max. file size: 128 MB.
    Counselor's Name(Required)
    Please select the classes you have completed so far:(Required)
    Foreign Language
    Have you passed the LEAP Test?(Required)
    If you answered “Yes,” please submit a copy of the test results.
    Max. file size: 128 MB.
    Do you work after school?(Required)
    List the colleges you would like to attend:(Required)
    Clear Signature
    I hereby authorize the McNeese State University Upward Bound Program to have access to my permanent school records during the application process and throughout the period of my active participation in the program and tracking period.

    Part III: Family Information

    Father's/Guardian's Name
    Highest level of education completed:
    Mother's/Guardian's Name
    Highest level of education completed:
    Include parents, children and any other relative.
    Name of parent(s)/guardian with whom you live:

    Part IV: Financial Information

    To be completed by the parent/guardian.

    The U.S. Department of Education requires that Upward Bound gather this data to determine student eligibility. The information that you provide will be available upon request to the U.S. Department of Education, McNeese State University, and federal and state auditors.

    All agencies must keep your information confidential and protected in accordance with the Privacy Act of 1974. Misrepresentation of the truth may lead to a serious penalty or more. Failure to provide the necessary information and supporting documents will prohibit your child from being considered for admission.

    Did you file a Federal Income Tax Return for last year?(Required)
    If you answered “Yes,” you will be asked submit a copy of the Federal 1040A form, page 1 and 2 only. W-2 forms and check stubs are not accepted.
    If you DID NOT file a tax return for last year or you are a recipient of public assistance, please list the source of any and all income you received during the last tax year:
    You will be asked to submit more information on this income to complete the review of this application.
    Clear Signature
    I hereby authorize the McNeese State University Upward Bound program to have access to my child’s permanent school records during the application process and throughout the period of his/her active participation in the program and tracking period.