Thank you for your interest in our Upward Bound program!  Please complete this application as thoroughly as possible.  You cannot save and restart 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 (505) 925-8861.

Pre Application 

General Information:
Last Name *
First Name *
Middle Name
Date of Birth *
Address 1 *
Address 2
City *
State *
Zip *
Parent Phone Number *
Student Phone Number *
Email *
Gender *
Are you a U.S. Citizen or Permanent Resident? *
Primary Language *
The University of New Mexico is required by Federal law to request this information for statistical reporting purposes. Your response is voluntary.
Do you consider yourself Hispanic/Latino?
In addition, select one or more of the following ethnic categories to describe yourself:
Are you a first generation student (neither parent or legal guardian has completed a bachelor's degree from an accredited college)? *
Describe your primary reason for applying *
How or by who did you find out about the program? *
Academic Info:
Current School Attending *
Current Grade Level *
How many classes are you taking? *
Do you plan on taking a College Entrance Exam this year? *
If Yes, which one?
Family Information:
Parents Educational Level *
How many people in your household? *
Family Income Range *
Sign and Submit:
Applicant Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number:
 
Parent/Guardian Signature *
Signature Type: SMS    Start Over
After validation, the cell phone number will become part of the electronic signature.
Cell Phone Number: