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UB Interest Form

ENMU
TRiO Upward Bound 

The information requested in this form will be solely for the purpose of determining your eligibility for the TRiO Upward Bound. Please complete the form and an Upward Bound staff member will contact you about your eligibility to apply for the program and for a follow-up interview by phone or video conference. If you have any questions, please call the ENMU TRiO Upward Bound office at 575-562-2452 and/or upward.bound@enmu.edu
Student's Demographic Information 
First/Middle/Last Name of Student(Required.)
Address Where you Live(Required.)
Address Where You Get Your Mail(Required.)
City/Town(Required.)
ZIP/Postal Code(Required.)
Student's Home Phone Number(Required.)
Student's Cell Phone Number(Required.)
Student's Email (please provide Gmail account)(Required.)
Home High School(Required.)
Grade Level in the 2022-2023 School Year(Required.)
Are you currently in the TRIO Talent Search Program?(Required.)
Student's Primary Language:(Required.)
Are you interested in going to college?(Required.)
Write why you want to go to college?(Required.)
What have you heard about Upward Bound that makes you want to join?(Required.)
How likely are you to participate in after school tutoring, Saturday academic sessions and the summer program for six weeks of your summer?(Required.)
Student Citizenship Information 
Are you a U.S. citizen?(Required.)
Are you Permanent Resident(Required.)
Parent/Guardian Information 
Parent's/Guardian's First and Last Name(Required.)
Parent's/Guardian's Phone Number(Required.)
Parent's/Guardian's Email Address(Required.)
Parent's Primary Language:(Required.)
Did either parent graduate from college/ university with a Bachelor's degree?(Required.)
Financial and Income Information 
Number of family members living at home, including yourself(Required.)
If your parents or legal guardians filed a 2021 Federal Income Tax Return, please write your taxable income below. On Federal Tax Form 1040, your taxable income is on line 15.(Required.)
Certification: All of the information on this UB Interest Form is true and correct to the best of my knowledge. 
*Parent or Legal Guardian Full Name*(Required.)
Thank you for submitting this form. Please allow 2-3 business days for a response. If we have not contact you or if you need any additional information, please contact Upward Bound Staff at: 575-562-2452 and/or upward.bound@enmu.edu