Upward Bound Recruitment Form

Thank you for your interest in the Colorado State University Upward Bound Program. Please fill out this form, and we will reach out to you soon!
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Student Name (First and Last) *
What school do you attend/will attend? *
What grade are you in? *
I meet the following Upward Bound eligibility (check all that apply) *
Student Phone Number *
Student Email *
How may we contact you? (Check all that apply) *
Parent/Guardian Name *
Parent/Guardian Phone *
Parent/Guardian Email (Put N/A if they do not have one) *
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