Transition to Postsecondary Education Application

Please note once the application has been started it cannot be saved and completed at a later time. If you have not reviewed the application planning document please visit our website, http://tpe.ku.edu/application-materials to make sure you have all of the necessary information to complete the application.

Student and Family Information

Student's Name

Street Address (Student)

City

State

- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Student's Email

Date of Birth

Gender

- Select -Male Female Other

Phone Number

- -

Parent(s)/Guardian(s) Name(s)

Parent(s)/Guardian(s) Address (if different than above)

Parent(s)/Guardian(s) Email

Parent(s)/Guardian(s) Phone Number

- -

Education Experience

Name of high school attended

City

State

- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Year of graduation (if applicable)

High School Graduation Status:

- Select -Certificate of Completion Standard Diploma Modified or Special Diploma GED or High School Equivalent Certificate Dropped Out

Please attach your most current high school transcript.

Have you attended college or a postsecondary training program?

- Select -Yes No

If yes, where did you attend college or a postsecondary program?

If yes, please attach transcripts for any courses completed.

Which of the following best describes the curriculum and educational setting you experienced in high school?

- Select -Fully included Special education classes only Spent majority of your time in inclusive setting Spent majority of you time in special education classes Other Don't know

Please list the general education classes you completed:

What are the most helpful accommodations and/or modifications you received in high school general education courses?

Did/do you have homework in high school?

- Select -Yes No

What are the typical ways you complete homework? Please include specific homework accommodations and/or modifications you find helpful.

Two Most Recent Jobs

Place of Employment

Dates of Employment

Job Duties

Were you paid minimum wage or more for this job?

- Select -Minimum wage More than minimum wage

Dollars per Hour

Place of Employment

Dates of Employment

Job Duties

Were you paid minimum wage or more for this job?

- Select -Minimum wage More than minimum wage

Dollars per Hour

What is your dream job?

Supports

Do you receive personal, in-home or community support services from an agency?

- Select -Yes No

If yes, name of agency:

Agency City:

Agency State:

- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Agency Case Manager:

List services that they provide:

Housing

If accepted into KU-TPE, what is your living preference for your FIRST YEAR?

- Select -Live in on-campus student housing (e.g. Residence Halls, Cost Approx: $10,00-$11,000/year Live at home Other

If accepted into KU-TPE, what is your living preference for your SECOND YEAR?

- Select -Live on-campus student housing (e.g. Residence Halls) Live at home Other

Essays

Describe your strengths

Describe your dreams for the future

What do you hope to gain from attending KU?

Describe the types of supports you use to help you make decisions and advocate for your needs.

Letters of Reference

Please upload your teacher/guidance counselor reference letter

Please upload your employer/volunteer reference letter

Please upload your personal reference letter

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