Upward Bound at Lincoln University On-Line Application

Upward Bound is a federally-funded TRIO program that provides academic support to low-income and/or first-generation college bound students. To qualify, students need to either meet TRIO low-income guidelines or a first-generation college student meaning neither parent has obtained a bachelor's degree. Students must also, attend one of the target high schools listed below.

Guidelines For Eligibility

  1. Be a U.S. Citizen/Permanent Resident
  2. Be in the 9th or 10th Grade
  3. Current student at a Lincoln University Upward Bound Program target high school:

Audenreid H.S.

Benjamin Franklin H.S.

Chester. H.S.

Chester Stem Academy at Showalter H.S.

Coatesville H.S.

John Bartram H.S.

Kennett Area H.S.

Oxford H.S

School of the Future H.S.

South Philadelphia H.S.

Today's Date *

 Student Information

First Name *
Middle Name
Student Last Name *
Gender *
Student Date of Birth *
Telephone Number# *
Student Email Address *
Ethnic-Racial Background: *
Target High School *
Grade Level *

 

Student/Parent/Guardian Information

Mother's First Name *
Last Name *
Home # *
Work# *
Cell# *
Email Address *
Street Address *
Apt/Unit
City *
State *
Zip Code *
Highest Education Completed *
Applicant Lives with *
Father's First Name *
Last Name *
Home# *
Cell# *
Street Address *
Apt/Unit *
City *
State *
Zip Code
Highest Education Completed *
Applicant Lives with *

Income/Family Size

Meet federal income requirements

 Acceptable documentation for family's income verification: 

  1. Federal Tax documentation (IRS 1040 or 1040 A Income Tax Returns)
  2. Social Security benefits award letter
  3. Disability benefits award letter Department of Human Services 

 

To qualify students need to meet TRIO low-income guidelines

  Size of Family Unit

1 $19,140.00

2 $25,860.00

3 $32,580.00

4 $39,300.00

5 $46,020.00

6 $52,740.00

7 $59,460.00

8 $66,180.00

Did you file an income tax return last year? *
List your family's taxable income for the year. *

 (Taxable income figures can be found on the Parents Federal Income Tax Form 10.)

Total number of people in the family household supported by family income? *

Citizenship

Is the student applicant a United States citizen? *

Certification

Release Of Records and Parental Permission Form

As a parent/guardian of the above-named student, I am signing this blanket permission form for the entire time my son/daughter is enrolled in the Lincoln University Upward Bound Program. To authorize the following:

 

  1. The right to request my son's /daughter's transcript from the above High School to release all school records, or copies thereof, of the above named student including transcripts, health records, psychological and social reports of a pertinent nature. Information received shall remain in strict confidence and be used by administrative staff only.

 
By checking this box, I hereby certify that all information on the pre-application, provided by me and my child/parent, is true and complete to the best of my knowledge.
Parent/Guardian Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.
Student Signature *
Signature Type: Simple    Start Over
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Signature: (Type in your full name)
I agree to the terms included.