Student Pre-Application

Thank you for your interest in the MIT/Wellesley Upward Bound Program! The Upward Bound Program is a year-round, coeducational, multicultural college preparatory program for high school (grades 9 through 12) youth, who are Cambridge Students (either reside or attend school in Cambridge, MA). With the financial support of the Massachusetts Institute of Technology (MIT) and Wellesley College, the Program serves academically promising young people 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.

STUDENT INFORMATION

First Name

Middle Name

Last Name

Date of Birth

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?

ELIGIBILITY METRIC: Income and Family Size

Within what range does your family’s taxable income for 2024 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.

income critera

Yes

If you are human, leave this field blank.

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