Salem State University Upward Bound Program Eligibility Application
The Salem State University Upward Bound Program is a college preparatory program that provides academic support services to prepare Lawrence High School students for college. Upward Bound has proudly served LHS students for over 35 successful years. Our services include after school tutoring, college visits, applying to college, applying for financial aid, community service, internships, summer program, stipend, and many cultural and travel opportunities.   After completing this eligibility form online, we will schedule a meeting in person.  We look forward to working with you to help you achieve your academic and college goals.

Take advantage of this outstanding program!  For more information visit the Upward Bound office @ H222.
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Student Name *
Please write as it appears on legal documents.
Grade *
Current or Expected High School in Lawrence, MA *
Greater Lawrence Regional Vocational Technical students are eligible.
Current Guidance Counselor *
Are you a citizen or a permanent resident? *
Students without Social Security numbers are not eligible for the program unfortunately. 
Are you currently enrolled in Upward Bound, Talent Search or Gear Up? *
Do you wish to attend college after you graduate from high school? *
Have you attained proficiency on all of your MCAS tests 8th, 9th, 10th grades? *
Test scores are not a requirement for admission but help us determine academic need.
If no, on which tests have you scored Needs Improvement or below? *
Is your overall GPA below a 2.5? *
A GPA of 2.5 is not a requirement for admission but helps us determine academic need.  All students are required to maintain a 2.5 while in the program.
Did your parent(s) with whom you currently live complete a four-year college degree? *
Does your parent/guardian receive SNAP benefits (Food Stamps) or Social Security benefits? *
How many people are there in your household? *
Does your parent/guardian file income taxes? *
If you answered yes above, what was your parents/guardian's taxable income?
Please write a short statement telling us why you should be accepted into the program. *
Be creative and personal!
Please list a goal for yourself during high school. *
Please list a goal for yourself after graduating from high school. *
Please list a goal for yourself after graduating from college. *
Parent/Guardian Name *
Parent/Guardian Telephone Number *
Parent/Guardian E-mail Address *
Student Telephone Number *
Student Email Address *
Please enter one that you check frequently.
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