TRIO Upward Bound Student Application

(For best results, please fill out this form using the Google Chrome Browser.)

Dear Applicant,

The Upward Bound Programs at Northwestern Oklahoma State University are federally funded programs that provide FREE college-preparation services to eligible high school students. We proudly serve students from Alva, Aline-Cleo, Burlington, Cherokee, Fairview, Freedom, Ringwood, Timberlake, and Waynoka high schools.
We invite you to apply to become part of our Upward Bound family. Participation in this program gives you access to academic support, tutoring, mentoring, cultural activities, college visits, and summer enrichment opportunities — all designed to help you prepare for success in high school, college, and beyond.
Please complete the application form in full and return it along with all required supporting documents. Applications cannot be processed until they are complete. Once your packet has been reviewed, you will be notified of your application status.
If you have any questions or need help completing your application, please contact our office at (580) 327-8114. We are excited about the possibility of working with you as you take the next steps toward your educational goals.

Sincerely,
Lisa Cline
Interim Director of UB & UBMS Programs


*Upward Bound and Upward Bound Math Science is funded 309,505 annually 100% through the Department of Education*

Student Information

Gender *

School Information

Do you plan to attend college after high school? *

Eligibility Information

Citizenship Status *

First-Generation College Status: Did your parents/guardians graduate with a 4-year college degree (Bachelor's)?

*

Household Income

Parent/Guardian Information

Student Short Answers

Emergency Contact

Required Documents Checklist 1

*

Required Document Checklist 2: If Household is not required to file a Federal Tax Return, please provide one of the following documents:

*
Student & Parent/Guardian Agreement: I understand that the TRIO Upward Bound Program is a year-round commitment that may include after-school, weekend, and summer activities. I agree to actively participate in the program and work toward my educational goals.

 By checking this box, the student and parent/guardian are providing their electronic signature and agree to abide by the information in Terms & Conditions. I will provide my live signature to Upward Bound during the interview process.

Northwestern Oklahoma State University

709 Oklahoma Blvd., Alva, OK 73717
Phone: (580) 327-1700

© 2008-2026 Northwestern Oklahoma State
University. All Rights Reserved.

Mission Statement

Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.

Proud Member of RUSO