top of page

Interested Students & Parents

To apply, you can pick up an application in our office, download it here or leave your mailing address below and we'd be happy to mail you one.


Please be sure to carefully follow all application instructions given.  Applications that are incomplete or are missing documentation will not be processed.

Email, fax or hand-deliver the completed application and all supporting documents to us using the contact information below.


Attn: Mrs. Lowe-Smith, Upward Bound

Johnson C. Smith University

100 Beatties Ford Rd

Charlotte NC 28216


Phone: 704.378.1127

Fax: 704.378.3545


Application (Fillable Word Doc)

Complete this form on your computer, then save it to your computer under a new name. You can then send it to us by email as an attached document.  Don't forget to also attach the supporting documents listed in the application.

Application (PDF)

Download this version to be printed.  Once you complete it, you can hand deliver it, mail it, or scan and email it to us. Don't forget to include the supporting documents listed in the application.

High Fives

We Can Mail You an Application

If you'd like, an application mailed to you. Please complete this form.

Thanks for submitting!

bottom of page