Thank you for applying to Upward Bound Math-Science at West Texas A&M University. Please fill out this application completely and to the best of your knowledge. Incomplete applications will not be accepted or reviewed.

Upon review, a UBMS staff member will be in contact. If you have any questions regarding the application, you may call the office line at 806-651-2351. You may also e-mail us at ubms@wtamu.edu. 
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 General Information
Are you a current participant of TRIO College Talent Search? *
If you are a current participant of TRIO College Talent Search, please communicate with your CTS advisor that you are applying to Upward Bound Math-Science. 
Did someone refer you to the program or encourage you to apply? Please print their name:
First Name *
Middle Name
Last Name *
Address Line 1 *
Address Line 2
City *
State *
Zipcode *
Student Cell Phone Number
Home Phone
Student Email *
Ethnic Background *
Are you a US Citizen? *
If you are not a US Citizen, are you a permanent resident?
1. Why are you applying to Upward Bound Math-Science? 2. What makes you a good candidate for the program and why should you be accepted? *
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Academic Information
Current Grade Level *
School Currently Attending *
Please identify the areas you are in need of support in (Select all that apply)
Math
Science
Writing/Reading
Computer Science/STEM
Financial Literacy (Budgeting, Filing Taxes, Banking, etc.)
Understanding Federal Student Aid, Loans, Scholarships, Grants, etc.
Professional skills, interviewing skills, building a resume, etc.
Study skills, Test prep, ACT/SAT Prep
Career Exploration
College Exploration
Please identify the areas of STEM you are interested in exploring as a possible career/college degree area. Check all that apply. 
Science (Biology, Chemistry, Geology, Forensics, Medical, Psychology, etc.)
What career area/degree program are you interested in within Science?
Technology (Computer Science, Software Development, Information Technology, Web Development, Cybersecurity, Robotics, etc.)
What career area/degree program are you interested in within Technology?
Engineering (Civil, Electrical, Mechanical, Chemical, Environmental, Aerospace, Industrial, Architectural, Computer, Biomedical, etc.)
What career area/degree program are you interested in within Engineering?
Math (Accounting, Statistics, Economics, etc.)
What career area/degree program are you interested in within Math?
Please list the extracurricular activities, teams, or organizations you participate in, along with your teacher/sponsor/coach's name and email (if possible).  
Extracurricular Information:
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Household Information
Please select who you currently live with: *
Mother's Education Level *
Father's Education Level *
How many people are in your household? (Include yourself, parents, siblings, and any other dependents) *
Please choose the range that best represents the household's taxable income range. Taxable income can be found on the 1040 tax form, line 15; or the 1040A form, line 27. *

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Parent Information
First and Last Name *
Address *
City *
State *
Zipcode *
Phone *
Email Address *
Relationship to Applicant: *

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Sign and Submit

By signing electronically below, the student and parent/guardian agree to the following:

1. Verify that all information provided on and attached to this application are correct and true. 

2. Agree to the UBMS Participant Terms and Conditions. (Please click and read) 
Applicant Signature: *
Please select a signature verification type.
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Parent/Guardian Signature: *
Please select a signature verification type.