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UMatter: An Inclusive Postsecondary Education ProgramUniversity of South Florida (USF) St. Petersburg campusSTUDENT APPLICATIONFor the Fall 2021 CohortDue: January 15th, 2021 ABOUT UMatter: An Inclusive Postsecondary Education Program at USF St. Petersburg campusWebsite: usf.edu/umatterOBJECTIVE: The goal of UMatter is to increase students’ skills across the five program components (academic access and enrichment, career development and employment, campus and community engagement, self-determination, and independent living) based on their individualized goals and program of study. Students in UMatter express a strong desire to continue their education in an inclusive postsecondary setting, explore careers and engage in work-based learning opportunities, and live independently. Students in UMatter will physically attend the university and audit college courses, join and participate in campus and community clubs, organizations and activities, engage in internships, apply for jobs, obtain competitive employment, and become responsible members of their community. DESIGN: The UMatter program design was informed by national best practices to support students with intellectual disabilities to prepare for employment via inclusion in higher education. These include the 2012 Think College Standards, Quality Indicators, and Benchmarks for Inclusive Higher Education () and the National Collaborative on Workforce and Disability’s (NCWD) 2016 Personal Competencies for College and Career Success: What Colleges Can Do (). The program has five components: Career Development and Employment, Academic Enrichment, Campus and Community Engagement, Self-Determination, and Independent Living. All participants in UMatter will be active, on campus students who audit courses, participate in campus and community activities, and gain relevant work experience through internships and paid employment. Students will earn a certificate of completion and accomplishment which will convey to employers that they fulfilled the minimum requirements for this program.TIMELINE: Five to six (16 week) semesters starting in the Fall (August) semester following the prerequisite Summer Leadership Institute (June/July 2021) for invited applicants. Semesters follow the USF academic calendar. CREDENTIAL: Completion of the program will result in a non-degree certificate of completion and accomplishment from the UMatter program (not USF). In addition, students may engage in the Career Readiness Badging Program based upon their individualized career goals and program of study. The Career Readiness Badge is awarded through USF Career Services. Student competency and accomplishments will be documented in an electronic portfolio.STUDENT PLAN: The UMatter team will utilize the Students Transitioning to Adult Roles (STAR) Person-Centered Planning (PCP) model to facilitate goal setting and to track progress across five domain components: Career Development and Employment, Academic Enrichment, Campus & Community Engagement, Independent Living, and Self-Determination.PROGRAM COMPONENTS: Each semester students will engage in five program components:Career Development and Employment: The career development and employment component is addressed through the support of students to engage in the Career Readiness Badging Program and earn the Career Readiness Badge. UMatter program support includes monthly check-ins on status/progress towards the units and assistance with development and maintaining individual career portfolio. In addition, students will participate in internships each semester and will develop and update their resume to reflect their internships, service projects, and related coursework, among other career-focused updates. Workshops and individualized career development-related coaching will be provided to students as they prepare for internships, job fairs, job shadowing and job interviews. Academic Access and Enrichment: The academic access and enrichment component is addressed through students auditing two USFSP courses per semester as well as attending weekly meetings with academic mentors and engaging with the student success office for tutoring services, when applicable, to reinforce the course content. In addition, UMatter will provide supplemental academic support to engage in online-based reading and math functional curriculum based on students’ needs and goals. Throughout each semester, students will also work on specific individualized online curricula as part of UMatter. Campus and Community Engagement: Campus and community engagement is addressed by encouraging students to engage in campus and/or community clubs, organizations, and service-learning/volunteerism opportunities. Students will be required to actively engage with at least one club/organization based on their unique interests per semester and peer/social mentors may support in this area. As students approach the completion of their program of study, UMatter personnel will assist students in setting goals and becoming acclimated to the community in which they will transition, so they feel supported in the next phase of their life.Independent Living: Independent living will be individualized based on the STAR Person-Centered Planning (PCP) goals set by the student and routine progress monitoring meetings with program personnel. In addition, independent living skills will be addressed through topical workshops developed by the UMatter program based on students’ goals and needs, which offer small group opportunities to learn and talk about different topics. In addition, for students living on campus, independent living goals and skills will be reviewed through weekly meetings with Residential Coaches.Self-Determination: Self-determination is a key feature embedded throughout the program as demonstrated by how the PCP guides each students’ program of study. Many aspects of self-determination are critical to the program. For example, students are supported in setting goals and tracking progress towards their goals through routine progress monitoring meetings. Since the program is totally inclusive, students are engaged in making their own choices, self-advocating for their preferences and needs as well as daily problem-solving. In addition, the program may also provide supplemental instruction and support in developing and practicing self-determination skills as well as assisting students in exploring their preferences and awareness of levels of self-determination.The UMatter is a non-degree Certificate Program. Transfer credits from other colleges or postsecondary programs are not pletion of the UMatter program will result in a certificate of completion and accomplishment from the UMatter program and the Career Readiness Badge from the USF Career Services based upon their individualized career goals and program of study. In addition, students will be assisted in developing and maintaining an electronic portfolio documenting competencies, skills, and accomplishments.APPLICATION FOR ADMISSIONApplications are currently being accepted via email or mail for the 2021 cohort. You will be notified via email when your entire packet has been received. Applicants will not be considered until the entire packet is submitted. If selected for an interview, the applicant will be interviewed independently (virtually) as well as with his/her family or support person and may be invited to participate in a Summer Leadership Institute. Please note: Due to limited space, not all applicants who complete the application process will be interviewed for the Program. Admittance to the Summer Institute does not guarantee admittance to the Program. APPLICATION CHECKLIST?Student Application (pgs. 7 – 22)?Personal Statement from Student with a recent photograph/headshot of the student?Student Questionnaire completed by applicant (pgs. 10 – 12)?Personal Support Questionnaire completed by parent (pgs. 14 –19)?Parent Readiness Questionnaire (pgs. 20-22)?Signed Memorandum of Understanding (pgs. 23-25)?Official High School Transcript ?Behavioral records (if student has no record, send a letter from the high school stating there is no record)?Current or former IEP/504 plan which serves as evidence of the applicant’s eligibility for special education and related services under the IDEA?A documented comprehensive and individualized evaluation which includes:Psychological Evaluation, including IQ testing within the past three yearsAdaptive behavioral scores within the past three yearsSocial-emotional functioning within the past three years?Two Recommendation forms (included) from non-family members who have known the applicant for at least one year. (pgs. 27 -30)?Copy of guardianship agreement, if applicable. Please note: The UMatter Program does not accept students who are under court ordered full /plenary guardianship.SUBMIT COMPLETED APPLICATION WITH RECORDS: UMatter ProgramUniversity of South Florida St. Petersburg campus140 7th Avenue South, SVB 101St. Petersburg, FL 33701ATTN: L. Danielle Roberts-Dahm, Program DirectorQuestions? E-mail: LRoberts@usf.edu ADMISSION CRITERIAApplicants must:A documented intellectual disability that impacts progression in a standard curriculum in pursuit of a postsecondary degree or certificate;Exited the K-12 system, either through graduating with a regular or special diploma, or high school equivalency;Is at least 18 years old;Has a desire to attend college courses and participate in a university campus experience, including a willingness to audit two (2) college courses during each semester (at minimum);Has employment and community participation as personal goals, with a commitment to becoming competitively employed during the program and upon exiting the program;Is capable of mobility on adult campuses, including transportation to and from campus, or be willing to receive travel training to navigate to the campus daily during weekdays;Displays a level of social maturity conducive to an adult environment (i.e. employment and educational settings);Has ability to maintain self-care and personal hygiene independently;Has a support system committed to a collaborative partnership, such as the parental/guardian/family support of the student’s participation in the program (including commitment to competitive employment during and after program);Has a reliable means of communication, including willingness to acquire required technology to participate in program (smart phone with texting and navigation capability);Willingness to follow program and university’s code of conduct (see Memorandum of Understanding at the end of this application package) Clear behavioral/discipline/incident record (as applicable from high school or previous employment or other community setting);Strong attendance record (as applicable from previous high school, employment or community setting);Willingness to work with an academic mentor/tutor and peer mentor(s); and Willingness to participate in service/volunteer opportunities in the community as part of the college experience.Not be under a full or plenary guardianship as ordered by a court of law. Limited or partial guardianship, including Power of Attorney, agreements will be considered and must be shared.Student must be able to be legally responsible for understanding and adhering to the USF Code of Conduct: in a Summer Leadership Institute overnight on campus in June or July 2021 as a pre-requisite to admission (approx. length 5 days). Dates: TBD Have sufficient emotional and independent living skills necessary to participate in coursework and campus life; Be able to remain unsupervised for 12 hours;Be independent in handling his/her own medication, specialized dietary and/or medical needs, as well as in the use of his/her own medication. Staff is not available to manage/administer medications. The UMatter Program does not take responsibility for specialized diets or medical needs;Be able to sit through a class period (1.5 hours);Be able to read and write approximately at a 3rd grade level;Consent to being photographed and be able to consent to participate in research Have medical insuranceHave a cell phone PROJECTED COSTSBelow are several estimates of program costs based on residency status (in state vs. out of state). The tuition and fees below model the current USF structure for the applicable term and are subject to change. These may increase in subsequent semesters. These costs are approximate and actual costs will be assessed upon admission to the program. All students admitted into UMatter must live on campus unless they live within 25 miles of the USF St. Petersburg campus and have reliable transportation to campus.In-State and Living on Campus?UMatter/USF Activity?Individual Cost??Frequency?Total Cost for 2.5 Years (5 Semesters)?Academic Courses (in-state)?Approx. $210?per credit?2 courses?per?semester (6 credits per semester?for Fall & Spring; 3 credits for Summer)?for 3 semesters;?27?credits?total?$5,670?Books,?Lab Fees;?Other Academic Fees/Needs?Approx. $1000 per semester?5 semesters?$5,000?Student Fees??$30 application fee;?$17 A&S and Athletics Fees?Application Fee – initial fee/one time; A&S and Athletics Fees (per semester)?$115?On-Campus Housing*?$4,556 per semester (avg.; range of options?available)?4.5?semesters?(2 fall/spring; 1 summer)?$20,502?USF Meal Plan*$1,922 per semester (avg.; range of options available)?4.5 semesters (2 fall/spring; 1 summer)??$8,649?Approximate Total Cost?for an?In-State?Student who is living on campus with a meal?plan??(Total for 2.5 years)?$39,936?*Individual Housing and Meal Plan costs differ based on individual choices. The above figures represent averages across plan options. Please visit the following links for detailed information on current costs/plans:?USFSP Housing Costs:? Meal Plans/Dining Options:? Living on Campus?UMatter/USF Activity?Individual?Cost?Frequency?Total Cost for 2.5 Years (5 Semesters)?Academic Courses (out-of-state)?Approx. $573.51 per credit?2 courses?per?semester (6 credits per semester?for Fall & Spring; 3 credits for Summer)?for 3 semesters;?27?credits?total?$15,485?Books, Other Academic Fees/Needs?Approx. $1000 per semester?5 semesters?$5,000?Student Fees?$30 application fee; $17 A&S and Athletics Fees?Application Fee – initial fee/one time; A&S and Athletics Fees (per semester)?$115?On-Campus Housing*??$4,556 per semester (avg.; range of options available)?4.5 semesters (2 fall/spring; 1 summer)??$20,502??USF Meal Plan?*?$1,922 per semester (avg.; range of options available)?4.5 semesters (2 fall/spring; 1 summer)??$8,649?Approximate Total Cost?for an?Out of State?Student with on campus?housing?and?meal plan?(for 2.5 years/5 semesters)?$49,751?*Individual Housing and Meal Plan costs differ based on individual choices.?The above figures represent averages across plan options.?Please visit the following links for detailed information on current costs/plans:?USFSP Housing Costs:? Meal Plans/Dining Options:? costs above do not include transportation. Students who wish to drive to and park at campus will need to purchase a?USFSP?Parking Permit.?UMatter?does not provide or coordinate transportation.??UMatter?Program Fee:?For the inaugural cohort, the?UMatter?program fee will be complimentary as the program is in development. In the future, a? programmatic fee will be applied to cover costs associated with mentors, residential coaches and resource?coordination. More details on this fee will be forthcoming.???Student Scholarships are?Available:?Students admitted to?UMatter?will have access to $7,000 in scholarships through the Florida Center for Students with Unique Abilities (FCSUA) per year. This can assist with?tuition, student fees, etc. Students will be responsible for costs beyond the $7,000. The scholarship is not competitive and is automatically available to an accepted and enrolled student in UMatter (an approved FPCTP).Additional Scholarships Opportunities: Please note – These are not automatically awarded. Students must apply to each of the scholarships in addition to the application to UMatter. This information is provided for informational purposes only.?Ruby’s Rainbow?’Neill Tabani Enrichment Fund? Financial/Cost Information:?University of?South?Florida Cost of Attendance Information:? Tuition Rates (Fall 2020-Spring 2021)?? STUDENT HOUSINGStudents accepted into the UMatter program will live on campus and engage in USF Residential Life. All students admitted into UMatter must live on campus unless they live within 25 miles of the USF St. Petersburg campus and have reliable transportation to campus. UMatter students will work with the UMatter program team and Residential Services to determine the best housing option for the individual student. Approximate costs are outlined in the Program Costs section above. Individual Housing and Meal Plan costs differ based on individual choices. The above figures represent averages across plan options. Please visit the following links for detailed information on current costs/plans: USFSP Housing Costs: USFSP Meal Plans/Dining Options: The costs above do not include transportation. Students who wish to drive to and park at campus will need to purchase an?USFSP?Parking Permit.?UMatter?does not provide or coordinate transportation.??STUDENT INFORMATIONCONTACT INFORMATION | STUDENTAll communication will be via email.Student’s Full Name:Nickname (if applicable):Date of Birth (MM/DD/YY):Social Security #:Cell Phone #:( )Home Phone #:( )Email Address (required): Address:City, State, Zip:High School: City, State: Student’s permanent residence is with: ? Mother ? Father ? Both ? Other: Does the student have a guardianship in place? ? No ? Yes, name of Guardian: CONTACT INFORMATION | PARENT(S)All communication will be via email.Mother’s Full Name:Father’s Full Name:Cell Phone #:( )Cell Phone #: ( )Home Phone #::( )Home Phone #:( )Work Phone #:( )Work Phone #:( )Address:Address:City, State, Zip:City, State, Zip:Email Address (required): Email Address (required):EMERGENCY CONTACT INFORMATIONName:Relationship:Cell Phone #:Other Phone #:Address:City, State, Zip:EDUCATIONAL HISTORYSchools Attended (Name, City, and State) Public orPrivate SchoolCalendar YearsAttendedReason for LeavingDid/will receive: ?High School Diploma ? Equivalent CertificateName of certificate received: Participated in general education classes: ? Yes ? NoIf yes, list inclusive classes taken:Describe accommodations used in general education classes. Were these used independently on a regular basis? (e.g., copies of notes, extended time, etc.)To be completed by the student:1. What was the most challenging part of school (academically and socially)?2. What was the most enjoyable part of high school?3. What clubs or teams were you involved in? Awards won? Offices held?4. What do you hope to learn or do in college that you did not do in high school?5. What kind of job or career do you hope that college will prepare you for?6. How did you hear about the UMatter Program? STUDENT QUESTIONNAIRE(To be completed by student)Was a scribe used to complete this section of the application? ? Yes ? NoWhy do you want to attend the UMatter Program at the University of South Florida St. Petersburg campus?What are your plans for the future?What kind of job would you like to have when you finish school? Why?What do you like to do in your free time?Are you a social person or do you prefer to be alone?Describe a special relationship you have with a friend, mentor, or family member.Have you ever been away from your family for an extended period of time? If so, when and where?How do you feel about living on campus? Describe accommodations you may need related to your room selection (e.g., quiet space due to noise sensitivity, allergy considerations, shower seat, etc.). Describe how you like to spend time when you are alone.Are you on Facebook, Instagram, Twitter or other social media? Do you check your accounts regularly? If not, would you like to be?What else would you like us to know about you?EMPLOYMENT HISTORYPlease complete the following including paid employment, unpaid employment, school-based employment training and internships. Attach a resume and references if applicable. Employment experience is NOT a requirement for admission. PAID EMPLOYMENTEmployer:Phone:Address:Supervisor:How did you obtain the job?Job Title:Responsibilities:From:To:Reason for Leaving:Employer: Phone:Address: Supervisor:How did you obtain the job? Job Title:Responsibilities:From:To:Reason for Leaving:Employer:Phone:Address:Supervisor:How did you obtain the job?Job Title:Responsibilities:From:To:Reason for Leaving:VOLUNTEER WORK/UNPAID INTERNSHIPSEmployer:Phone:Address:Supervisor:How did you obtain the position?Title:Responsibilities:From:To:Reason for Leaving:Employer:Phone:Address:Supervisor:How did you obtain the position?Job Title:Responsibilities:From:To:Reason for Leaving:Employer:Phone:Address:Supervisor:How did you obtain the position?Job Title:Responsibilities:From:To:Reason for Leaving:EMPLOYMENT REFERENCESFull Name:Relationship:Company:Phone:Address:Full Name:Relationship:Company:Phone:Address:Full Name:Relationship:Company:Phone:Address:What did you enjoy most about your work experiences? Why?What types of internships or work experiences are you interested in for the future?PERSONAL SUPPORT INVENTORY(To be completed by parent/guardian or support staff)Completed by: Please fill in the information below as completely and honestly as possible. This information provides a greater understanding of the student’s support needs and is not a determining factor in acceptance to the program. INDEPENDENT LIVING SKILLSNotes/CommentsFinds way around new environment?Has never had the opportunity?Needs complete assistance ?Completely independentFollows a schedule independently?Has never had the opportunity?Needs complete assistance ?Completely independentBathes daily?Needs daily reminders ?With prompting/schedules ?Completely independent Changes clothes daily?Needs daily reminders ?With prompting/schedules ?Completely independentBrushes teeth daily?Needs daily reminders ?With prompting/schedules ?Completely independentAsks for help, clarification?Needs prompting ?Always ?Only in familiar situationsUses good judgment in an emergency?Has received instruction, but has not been in the situation?Has not received instruction ?Completely independentCopes well with stress?Needs assistance?Has and uses coping strategies?IndependentAdjusts well to new environments?Needs much assistance ?Needs little assistance ?IndependentPrefers to do things for himself/herself?Yes ?No ?Frequently requests assistanceLaundry?Sorts ?Operates washer?Operates dryer ?Folds ?Irons ?Does not do laundryINDEPENDENT LIVING SKILLS (CONT.)Notes/CommentsCooks?No?Completely independent?Very Basic Give example: Click here to enter text.Has attended camp away from home?Yes For how long? Click here to enter text. ?NoSets appointments for himself/herself?Yes ?NoHas travelled?Yes, flown alone ?Yes, flown with adult ?Internationally ?Yes, bus alone ?Yes, bus with adult?No?Other:Click here to enter text.Has driver’s license?Yes, drives on own?Yes, drives with parent/adult only?Learner’s Permit only?Does not driveWhat chores is the student responsible for at home?Click here to enter text.Is the student able to manage his/her own time??Arrives on time?Allows enough time to walk to classes, etc.?Uses alarm clock ?Uses schedule or day planner?NoIs student independently able to use:?Laptop ?Debit card?Flash Drive?Cell Phone?ATM?Attach a document to an email?Email?PrinterCuts fingernails and toenails?Needs complete assistance?Needs daily reminders ?With prompting/schedules?Completely independentShaves face/legs?Needs complete assistance?Needs daily remindersSOCIAL SKILLS AND COMMUNICATIONNotes/CommentsCommunicates needs appropriately?Yes ?No ? With PromptingEngages in age appropriate interaction?Yes, socializes with same age peers?Does not socialize?Socializes mostly with family?Socializes with older?Socializes with youngerDeals with conflict?Needs much assistance?Seeks assistance?Needs limited assistance?IndependentDistinguishes between friends & strangers?Yes ?No ?Has not been in the situationFollows rules?Yes, is a rule follower?Needs reminders?Struggles following rulesOrders and purchases from a restaurant/store?Yes ? No ? Needs assistanceRespects authority figures?Yes ?No ?Depends on the relationshipUses cell phone?Phone calls?Text messages?Calendar/day planner?Alarms?Apps?Internet browsingIs able to provide personal information?Address?Emergency contact?Medication information?Insurance information?Phone number?Email addressUses email?Has email account but does not use?With assistance?Independently?Remembers passwords?Needs reminder for passwordsMaintains appropriate social behavior?With prompts?Independently with family?Needs reminders in public situations?Independent in public situationsHow does the student manage anger/anxiety?Dating experience?Has not dated?Has dated?Online dating?No experience, but is interested in datingIs the student currently involved in activities that are specially created for individuals with disabilities??No ? Yes?Yes, inclusive activitiesACADEMIC SKILLSReading skills? No functional reading? Reads chapter books? Reads books silently? Can answer questions about a reading selection? Can summarize a reading selection? Reads books for pleasure? Makes inferences? Approximate grade level reading ability: Click here to enter text.? Title of last book read: Click here to enter text.Math skills? Handles money to make a purchase? Counts change in bills? Manages a checking account? Stays within a budgetComputer skills? Word processor? Internet search? Remembers password? PowerPoint? Requires assistance? Uses Mac? Uses PC? Does not use the computerFollowing verbal directions ?Yes ? No ?With reminderFollowing written directions?Yes ? No ?With reminderTime Management ? Uses a calendar ? Makes appointments ? Needs complete assistance ? Keeps planner/agenda ? Sets reminders on phone ? On timeSelf-Initiation?Yes ? No ?Sometimes Study Habits ? Studies independently ? Has tutor ? Requires one on one assistance ? Requires prompting ? Does not have homeworkNote-taking? Takes own notes? Uses technology? Requires copies of notesWriting skills? Has written papers? Writes simples sentences? Drafts, revises and edits? Writes short paragraphs? Uses punctuation? Takes notes during class? Copies notes from board?Does not write?Uses technology for writingListening skills? Can retell a story? Able to retell settings, problems, events and solutions? Creates questions based on information presentedTutor/assistant? Attended class with student? Assisted with work one on one? At home tutor? No tutor or assistantAssistive technology ? iPad- apps: Click here to enter text. ? Live Scribe Pen ? Laptop ? Voice Recognition software ? Dragon Naturally Speaking ? OneNote ? Evernote ? Recording device ? Google apps ? Other: Click here to enter text.Please feel free to provide any supporting documentation.What else should we know about the student? Please provide any additional information for consideration regarding the applicant. Include any relevant social, emotional or educational factors. We are looking for a true picture of the student’s overall level in academics, social skills, independent functioning and employment readiness.What goals does the family/parent have for the student while in college?PARENT READINESS SURVEY(To be completed by parent / guardian or primary support person)APPLICANT NFORMATIONStudent Name:Parent/Guardian Name: STUDENT SAFETYNotes/CommentsI expect one-on-one support for my student all day.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI worry about my student talking to other students unsupervised.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI worry about my student crossing the street.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI check to see if my student has the correct facts.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreePOSTSECONDARY PROGRAMSNotes/CommentsI expect to know everything my student does at the university.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI expect to know the calendar of social activities offered to my student.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreePOSTSECONDARY PROGRAMS (CONT.)Notes/CommentsI know my student, with support, will develop friendships.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI know my student, with support, will try new opportunities.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeDIRECT INVOLVEMENTNotes/CommentsOften, I am in contact with my student more than three times a day.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI check up on my student in person if I can.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeSTUDENT’S STRENGTHS AND CHALLENGESNotes/CommentsMy student has the ability to handle frustration appropriately.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI trust my student’s judgment.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeMy student has the ability to seek assistance.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeSTUDENT’S STRENGTHS AND CHALLENGES (CONT.)Notes/CommentsI trust my student’s ability to handle small sums of money. ? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI feel that my student knows what is best for him/herself.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeCONCERNS ABOUT THE FUTURENotes/CommentsI believe a postsecondary education is important for my student.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeI feel that my student wants to attend the university.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeMy student will live independent of our family after graduation.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeMy student will have meaningful employment after graduation.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeMy student will lead the Student/Person-Centered Planning in order to achieve his/her goals.? Strongly Agree? Agree? Neutral? Disagree? Strongly DisagreeMEMORANDUM OF UNDERSTANDING BETWEEN THE UNIVERSITY OF SOUTH FLORIDA (USF) UMATTER PROGRAMAND THE PARENT OF THE STUDENTUMatter is an innovative inclusive postsecondary education (IPSE) program and an approved Florida Postsecondary Comprehensive Transition Program (FPCTP) for students with intellectual disabilities (ID) located at the University of South Florida St. Petersburg (USFSP) campus. UMatter students will increase their skills in five program components (academic access and enrichment, career development and employment, campus and community engagement, self-determination, and independent living) based on their individualized goals and program of study. Students will complete their program of study by earning a certificate of completion and accomplishment from the UMatter program and a Career Readiness Badge from USF based upon their individualized career goals and program of study. Students in UMatter express a strong desire to continue their education in an inclusive postsecondary setting, explore careers and engage in work-based learning opportunities, and live independently.?Students in UMatter will physically attend the university and audit college courses, join and participate in campus and community clubs, organizations and activities, engage in internships, apply for jobs, obtain competitive employment, and become responsible members of their community. Students have the option to live on campus at USFSP which is a unique opportunity in that less than half of the inclusive postsecondary programs in Florida feature an on-campus residential component, complete with support from residential coaches.The purpose of the UMatter program is to facilitate transition by UMatter students into the adult community. This means that UMatter graduates are prepared to live and work as independently as possible. Specifically, the UMatter team has an expectation that after completing the UMatter program, the UMatter graduate will work in a competitive employment environment based on the student’s career choice with necessary supports (i.e., not in a sheltered workshop or in a day activity center) and live in his or her own house or apartment with necessary support. Only individuals with I/DD, who, along with their parents/family/support network, agree with this expectation, should pursue the UMatter program as a transition option. This Memo of Understanding (MOU) is established to assure success in the UMatter program and to promote greater independence in the student’s post-UMatter community. The agreement is intended to clearly convey that the UMatter program requires a partnership between the student enrolled in UMatter, their parents/family/support network, and the UMatter program personnel. Each party must make a commitment and take specific actions to achieve the desired outcomes of the UMatter program.Continuation in the UMatter program by UMatter students requires that parents also fulfill their responsibilities as specified in this document to achieve these outcomes, just as the UMatter staff will focus on preparing its participants to achieve the desired outcomes.To enter and participate in the UMatter program, students and their parents/family/support network agree to the following:All of the information provided in this application is accurate to the best of his/her knowledge.Guardianship: Verify that the student is his/her own guardian (parent or other does not have full/ plenary guardianship over the student).Behavior: Verify that the student has no current behavior problems. Please indicate the following:Student has had a Functional Behavioral Analysis (FBA) completed? NO?YES, if so, when and for what? Click here to enter text.Student has had a Behavior Intervention Plan (BIP)? NO?YES, if so, when and for what? Click here to enter text.Student has ever received home bound instruction for any reason (medical, behavioral, other)? NO? YES, if so, when and for what? Click here to enter text.Payment: Pay in full each semester by the date set by the UMatter team including a non-refundable UMatter program fee, university tuition, and USF student fees. Failure to pay in full by the deadline may result in cancellation of the student’s program in adherence with USF policy.Orientation: Participate in a Parent Orientation upon student acceptance to receive and discuss the UMatter Parent Handbook for policies and procedures relevant to the program.Materials: Provide materials necessary for successful college participation in a timely manner (within one week when requested by UMatter staff or instructors) including but not limited to paper, pens, pencils, flash drive, printer, computer, cell phone, binders, book bag).Communication: Communicate directly with UMatter staff and faculty if questions or concerns arise. Parents will not directly contact USF instructors or UMatter peer mentors.Time on Campus: Parents will not attend courses, loiter on campus, or otherwise violate USF’s policies related to guest verification and identification. Privacy: Acknowledge that peer mentors and staff are not required to provide them, or their student, with their personal contact information (cell phone number or personal email address). The decision to share contact information will be made solely by the mentor/staff as he or she wishes. Code of Conduct: UMatter students must adhere to USF’s Code of Conduct. If behavioral issues occur, students will adhere to disciplinary processes determined by USF. Violations of the Code of Conduct may result in removal from the program. Transportation: It is the responsibility of the family to coordinate transportation to and from campus. Participation: Barring emergencies, families will participate in their student’s person-centered plan each semester and will follow through on tasks which will support successful transition into the community in which the student will live. These may include:Contacting the local Vocational Rehabilitation (VR) field office to ensure VR support is secured if qualifiedIdentification of employment opportunities that align with the students interest and preparationCreation of a micro-board for the student to allow persons of the student’s choosing to assist him/her with ongoing planning and support post-graduationListening to the student about where he/she would like to live Making a transition plan that reflects the students’ desires and skill as expressed during the UMatter programIt is understood that acceptance and continuation in the UMatter program will be determined each semester based on the student progress; appropriately following USF’s Code of Conduct; and adherence to program requirements as specified above.Parents/families understand that without adequate progress in any of the programmatic areas, including adherence to requirements by parents/families, the UMatter staff may elect to dismiss the student from the UMatter program and they will comply with this decision by removing the student and student’s personal belongings from the USF campus.The USF UMatter Team agrees to the following:Provide an initial orientation period (Summer Institute experience) for the potential students to allow for campus familiarity and a sample of on-campus college experiences before full admission;Collaborate with university faculty and staff to provide students with access to college courses attended by enrolled students without disabilities;Provide academic advising that includes courses related to career and personal interests;Allow students to participate in courses that align with their career goals and assist with coursework;Prepare students for competitive employment by facilitating meaningful on-campus unpaid internships or paid part-time jobs each semester;Provide additional organized activities for students (e.g., health/wellness seminars, extracurricular events, career fairs, etc.);Schedule UMatter students in USF courses, work-based experiential learning, extracurricular activities, and opportunities to build independent living skills;Monitor progress throughout the college experience including Satisfactory Academic Progress (SAP), competencies in social and extracurricular activities, and work-based experiential learning; Collaborate and assist with families, university faculty and staff, university students, and community service providers to provide full access to campus life;Provide resources and community mapping options to students and families;Provide a UMatter Certificate of Completion and Accomplishment for students who complete the program requirements and successfully meet the benchmarks for success. Support students in their engagement with the Career Readiness Badging Program from USF Career Services.By your signature below, you indicate that you understand and agree to the provisions in this MOU:Parent’s Signature: _______________________________________Date: Click here to enter a date.Parent’s Name (Please print): Click here to enter text.UMatter Student Applicant (Please print): Click here to enter text.UMatter Director’s Signature: _____________________________________ Date:Click here to enter a date. (Signed upon student acceptance to participate in the UMatter program)RECOMMENDATIONS AND RELEASE(To be completed by non-family members)Please list the following information for recommendations. Individuals sending recommendations should know the student well and be able to speak to his/her readiness for college. This can include teachers, mentors, employers/supervisors, family members (other than parents/guardians), neighbors, etc. RECOMMENDATION 1 Name:Position:Address, City, State:Phone:Email: RECOMMENDATION 2Name:Position:Address, City, State:Phone:Email:RECOMMENDATION RELEASEI agree to waive my right to access the student recommendation forms.Applicant NameApplicant SignatureDateParent NameParent SignatureDateRECOMMENDATION FORM (1)For: (Applicant Name)The above named individual has applied for admission to the UMatter program at the University of South Florida St. Petersburg campus. The UMatter program provides adults with intellectual disabilities an inclusive college experience that will further their academic, employment, social, and independent living skills. Please answer the following questions to the best of your ability. Applications will not be reviewed without recommendations. Applicants have waived their right to access the recommendation form. Your timely completion of this form is greatly appreciated by the applicant. If you have further questions please contact the UMatter program at LRoberts@usf.edu. Thank you. CONTACT INFORMATIONYour Name:Title/Organization:Address:City:State:Zip:Phone:Email Address:How long have you known the applicant?In what capacity?Are you familiar with the UMatter Program? ? Yes ? NoDo you feel the applicant would benefit from this postsecondary education program in the area of ACADEMICS? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of SOCIAL SKILL BUILDING and CAMPUS AND COMMUNITY ENGAGEMENT? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of INDEPENDENT LIVING? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of CAREER DEVELOPMENT? Why or why not?Does the applicant have any behaviors that would interfere with their ability to participate in the UMatter program? ?Yes ?NoPlease comment on any behavior supports the applicant may need.Please discuss the student’s level of independence. Please comment on any supports that applicant may need.Please discuss the student’s social skills. Please comment on any supports the applicant may need. Discuss how the student manages stress. Please comment on any supports the applicant may need.Please describe the applicant in detail. Include any additional information or commentary about the applicant. If you need more space, please attach an additional page. We are looking for a true picture of the student’s likely success overall in academics, living independently, increasing social connections, and employment readiness. Thank you!Please return the completed recommendation form via email (LRoberts@usf.edu) or mail to:The UMatter ProgramUniversity of South Florida St. Petersburg campus140 7th Avenue South, SVB 101St. Petersburg, FL 33701ATTN: L. Danielle Roberts-Dahm, Program DirectorRECOMMENDATION FORM (2)For: (Applicant Name)The above named individual has applied for admission to the UMatter program at the University of South Florida St. Petersburg campus. The UMatter program provides adults with intellectual disabilities an inclusive college experience that will further their academic, employment, social, and independent living skills. Please answer the following questions to the best of your ability. Applications will not be reviewed without recommendations. Applicants have waived their right to access the recommendation form. Your timely completion of this form is greatly appreciated by the applicant. If you have further questions please contact the UMatter program at LRoberts@usf.edu. Thank you. CONTACT INFORMATIONYour Name:Title/Organization:Address:City:State:Zip:Phone:Email Address:How long have you known the applicant?In what capacity?Are you familiar with the UMatter Program? ? Yes ? NoDo you feel the applicant would benefit from this postsecondary education program in the area of ACADEMICS? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of SOCIAL SKILL BUILDING and CAMPUS AND COMMUNITY ENGAGEMENT? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of INDEPENDENT LIVING? Why or why not?Do you feel the applicant would benefit from this postsecondary education program in the area of CAREER DEVELOPMENT? Why or why not?Does the applicant have any behaviors that would interfere with their ability to participate in the UMatter program? ?Yes ?NoPlease comment on any behavior supports the applicant may need.Please discuss the student’s level of independence. Please comment on any supports that applicant may need.Please discuss the student’s social skills. Please comment on any supports the applicant may need. Discuss how the student manages stress. Please comment on any supports the applicant may need.Please describe the applicant in detail. Include any additional information or commentary about the applicant. If you need more space, please attach an additional page. We are looking for a true picture of the student’s likely success overall in academics, living independently, increasing social connections, and employment readiness. Thank you!Please return the completed recommendation form via email (LRoberts@usf.edu) or mail to:The UMatter ProgramUniversity of South Florida St. Petersburg campus140 7th Avenue South, SVB 101St. Petersburg, FL 33701ATTN: L. Danielle Roberts-Dahm, Program Director ................
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