University of Vermont

Academic Success Programs

Upward Bound Application and Medical Forms

Application and Forms for Students

Students who are current or rising 9th through 12th grades from Winooski High School and Burlington High School are eligible for our programs. Click each link below to download, print, and fill out the forms necessary for the application:

Application Forms:

            Application (PDF)
            Teacher Assessment (PDF)
            Transcript Release Form (PDF)

Once you have completed the forms, mail them to the Upward Bound Office at:
            Upward Bound
            227 Commons, L/L
            University of Vermont
            633 Main St.
            Burlington, VT 05405

Once completed applications are received, the Upward Bound staff will review your application, supporting materials, as well as your academic transcript and contact you with further information. If you have any questions, please contact our Program Director, Xavier De Freitas, at

Last modified July 27 2016 08:32 AM

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