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Upward Bound Interest Form
Hello! Thank you for your interest in the Upward Bound Program. Please complete the interest form below and one of our staff members will contact you in 2-3 business days.
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Student ID Number
*
Your answer
Student High School
*
Duncanville H.S.
D.W. Carter H.S.
H. Grady Spruce H.S.
Hillcrest H.S.
Kimball H.S.
Lakeview Centennial H.S.
Lincoln H.S.
North Dallas H.S.
Skyline H.S.
F. D. Roosevelt H.S.
Required
Student Grade Level
*
9th Grade
10th Grade
11th Grade
12th Grade
Required
Student's Phone Number
*
Your answer
Student's Email Address (No School Email)
Your answer
Student's Citizenship:
*
U.S. Citizen
Permanent Resident Alien
Can you, the student, commit to attending Saturday Academies twice a month virtual or on the SMU Campus?
*
Yes
No
What Campus activities are you involved in?
*
Your answer
Do you have an interest in STEM (Science / Technology / Engineering / Math)?
*
Yes
No
Maybe
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Did Biological Mother receive a degree from a 4-year University?
*
Yes
No
Did Biological Father receive a degree from a 4-year University?
*
Yes
No
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