Upward Bound
TTU Home Division of Institutional Diversity, Equity & Community Engagement Upward Bound Pre-Application Interest Form

Pre-Application Interest Form

Please enter your information. ALL Fields are REQUIRED

Student Name:
High School:
Grade Level:
Mailing Address:
Best Day & Time to Call: Day:      Time:  
Email Address:
Home Phone:
Cell Phone:
Parent or Guardian Name:
Plans after High School: 4-Year College
Vocational/Technical Training
2-Year College
Top 3 Career Choices:
Did You Receive: Free Lunch
Reduced Lunch
Did Not Apply
Number of Family Members
in the Household:
Did Your Parents/Guardians Graduate
from a 4-Year College?
Number of Siblings who Graduated
from College:
Do You have Access to a Computer
or Internet at Home?
Are You a LEARN,
Talent Search Participant?
What is Your Parent/Guardian's
Primary Language?

Please Read and Sign the Following Statement:

I understand that by signing below, I am giving Texas Tech University permission to obtain information from my parents and/or school officials to determine if I will be invited to apply for admission to Upward Bound Programs.

I Agree