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Upward Bound Math-Science Interest Form
Hello! Thank you for your interest in the Upward Bound Math-Science 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
Email address
*
Your answer
Last Name, First Name
*
Your answer
Student ID Number
*
Your answer
Student High School (if you attend Barack & Michelle Obama 9th Grade Center please select Lancaster H.S.)
*
Skyline HS
H Grady Spruce HS
North Dallas HS
Lancaster HS
Wilmer- Hutchins HS
Other:
Required
Student Grade Level
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9th Grade
10th Grade
11th Grade
12th Grade
Required
Student's Phone Number
*
Your answer
Student's Mailing Address
*
Your answer
Student's Citizenship:
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U.S. Citizen
Permanent Resident
What Campus activities are you involved in?
*
Your answer
Can you, the student, commit to attending Saturday Academies twice a month virtual or on the SMU Campus?
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Yes
No
Do you have an interest in STEM (Science / Technology / Engineering / Math)?
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Yes
No
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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