Transition to Postsecondary Education Program and FutureU @ KU summer camp - Application Form

Apply for FutureU @ KU summer camp

Please use the form to submit an application with your child for the June 8-10 session

Application fee: $25.00

Payment via credit card is due at time of registration. Please have your card ready as you will be forwarded to a third-party payment system immediately following submission. Your application is not complete without payment.

Pink fields and/or * required.

Student Details

First Name

Last Name

Birthdate

(mm-dd-yyyy)

Student’s Email

Please enter the student's email address

Student's Phone

- -

Student Address

Street Address

City

State

Zip

Student's Academic & Personal Details

Grade in school

Other grade

What high school did you attend/graduate from?

Gender with which you identify

What is your t-shirt size?

Tell us about the student

Jobs/Careers: What kind of job would you like to have someday?

School: What are your favorite classes in school?

Free Time: What do you like to do for fun?

Why do you want to attend FutureU@KU?

What are 3 things you hope to learn or gain from FutureU@KU camp?

Parent/Guardian Info

Parent/Guardian 1

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Please provide at least 1 phone number

Parent/Guardian Phone (mobile)

- -

Parent/Guardian Phone (home)

- -

Parent/Guardian Phone (work)

- -

Parent/Guardian 2

Second Parent/Guardian First Name

Second Parent/Guardian Last Name

Second Parent/Guardian Email

Please provide at least 1 phone number

Second Parent/Guardian Phone (mobile)

- -

Second Parent/Guardian Phone (home)

- -

Second Parent/Guardian Phone (work)

- -

Student Profile

Intellectual and/or developmental disability

Why do you think FutureU @ KU would be a good experience for your child?

What do you hope your child will learn/gain at FutureU @ KU?

Are there any allergies or medical conditions we should be aware of?

If 'yes' please describe

Do your child have any physical limitations or support needs that require ADA accessibility for housing?

Note: this would include bathroom and shared living spaces. Please describe.

Is there anything else we should know about your child?

How did you learn about FutureU@KU camp?

What questions do you have for us?

Confirm Application

I confirm that all the information provided above is accurate.

Yes

I have read and understood the program description and eligibility requirements.

Yes

I confirm the student has a documented intellectual and/or developmental disability and can provide documentation if requested.

Yes

I understand that my registration is not complete until I pay fully online the $25.00 application fee (no checks or cash will be accepted).

Yes

I understand that if accepted into FutureU@KU, there is an additional registration fee to be paid ($225.00).

Yes

5000

6000

Application fee

25.00

Important Information for Parent/Guardian:

University of Kansas - Lawrence Campus - Daisy Hill 1620 Engel Rd, Lawrence, KS 66045

Drop off: Monday, June 8 at 10am | Pickup: Wednesday, June 10 at 11am

More information will be provided in acceptance packets sent mid-May