Student Pre-Application | MIT/Wellesley Upward Bound

The staff of the MIT/Wellesley Upward Bound Program welcomes your interest in the program. The Upward Bound Program is a year-round, coeducational, multicultural college preparatory program for high school (grades 9 through 12) youth, who reside in Cambridge, Massachusetts and attend Cambridge Rindge and Latin School (CRLS). With the financial support of the United States Department of Education, the Massachusetts Institute of Technology (MIT) and Wellesley College, the Program serves academically promising young men and women from low-income families who are potentially first generation to go to college, meaning neither parent has obtained a bachelor’s degree, and who might be at high risk for academic failure.

We invite you to complete this Student Pre-Application to determine your eligibility to continue in the full application process.

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STUDENT INFORMATION

First Name *

Middle Name

Last Name *

Date of Birth *

Year

Month

Day

Email Address *

Current School *

School *

Current Grade *

STUDENT RESIDENCE AND PARENT INFORMATION

Street Address *

Apt/Unit#

State *

City *

Zip Code *

Student Applicant's Phone Number *

Applicant lives with *

Parent/Guardian #1: (Parent/Guardian that the applicant lives with)

First Name *

Last Name *

Relationship to Applicant *

E-mail Address *

Cell Phone *

Work Phone

Highest education level completed? *

Parent/Guardian #2:

First Name *

Last Name *

Relationship to Applicant *

E-mail Address *

Cell Phone *

Work Phone

Highest education level completed? *

Income and Family Size

Within what range does your family’s taxable income for 2019 belong? (The taxable income figure can be found on the parent's Federal Income Tax Form 1040.) *

Family’s Taxable Income *

Size of your family unit? *

Amount in Family unit *

Citizenship

Is the student applicant a United States citizen? *

what is the student applicants country of citizenship? *

CERTIFICATION *

By checking this box, I hereby certify that all of the information on this pre-application, provided by me and my child/parent, is true and complete to the best of my knowledge.