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Veterans Upward Bound Program Application

Sunday, September 19, 2021
  • 1 Personal
  • 2 Education
  • 3 Military and Employment History
  • 4 Declaration and Authorization for Release of Information

TRiO Veterans Upward Bound
University of Arkansas - Pulaski Technical College
3000 West Scenic Drive
A Building, Room 126
North Little Rock, AR 72118
(501) 812-2810

TRiO Veterans Upward Bound (VUB) is an education and skills program designed specifically to serve the needs of today's veterans. Our mission is to provide qualifying veterans with the skills and motivation necessary to enter and succeed in a post-secondary education program. VUB is funded by the U.S. Department of Education and is administered through University of Arkansas - Pulaski Technical College. We serve veterans in Pulaski, Faulkner, Lonoke and Saline counties.

*Required

 

Section I - Personal

Type N/A if you don't have a work phone number.

*Are you:
*Ethnicity:
*Gender:
*How did you hear about Veterans Upward Bound?
  • 1 Personal
  • 2 Education
  • 3 Military and Employment History
  • 4 Declaration and Authorization for Release of Information

Section II - Education

*Please check all that apply:
Highest College Level Completed:
First Generation - Did either of your parents graduate from a four-year college/university?
College GPA:
*What is your academic need?
Previous step
  • 1 Personal
  • 2 Education
  • 3 Military and Employment History
  • 4 Declaration and Authorization for Release of Information

Section III - Military and Employment History

*Current Employment Status:
*Dependent Status: (as claimed on a W-4 and/or tax return)
*Do you support your parents? (as dependents)
*Total number of dependents claimed on federal income tax return:
Check the box that reflects your family's taxable income for last year - after deductions (not gross income). *IMPORTANT: As shown on line 39 on IRS 1040, line 25 on 1040A or line 6 on 1040EZ
Previous step
  • 1 Personal
  • 2 Education
  • 3 Military and Employment History
  • 4 Declaration and Authorization for Release of Information

Declaration and Authorization for Release of Information

I declare that all information on this application is true to the best of my knowledge. VUB has my permission to verify this information. I understand the submission of untrue information can result in my termination from the program.

 

I understand that typing my full name in this box constitutes a legal signature confirming that I acknowledge and agree to the understandings above.