Please complete all items included in this application. Submission of a completed application does
not guarantee acceptance into the program. If you are eligible, but not selected to be a participant or
alternate, you will be placed on a waiting list.
In order for your application to be considered complete, you must submit the following documents: A signed and completed application; a U.S. Individual Income Tax Return (Form 1040, pages 1 & 2) OR an Income Statement, a Counselor Recommendation form, a copy of your Transcript, and a Math or Science Teacher Recommendation form.
COMPLETED APPLICATIONS AND ALL RELATED DOCUMENTS ARE DUE BY APRIL 15TH. If you would prefer to submit a paper copy application, you can print one here and submit it by mail or fax to:
University of Delaware - UBMS
12 West Delaware Avenue
Newark, DE 19716
If you have any questions or concerns, please call us at 302-831-6373.
This section is to be completed by a parent/ legal guardian. The UBMS program is a federally funded TRIO program. We are required to determine whether our applicants are either the first in their family to graduate from a four-year college or university, or that the family does not make an income that falls above a certain threshold. A signed copy of your current U.S. Individual Income Tax Return (form 1040, pages 1 and 2) or a signed income statement is required to verify income in order determine your students eligibility for our program.
SIGNATURES AND IMPORTANT NOTES
In addition to completing this application and submitting either an income tax return or an income statement, you must also submit a recommendation form from a guidance counselor, a copy of your transcript and a recommendation from a math or science teacher. The counselor and teacher recommendation forms can be found in the Prospective Student menu drop-down.