Passages Online Application
Personal Contact Information
Applicants Name
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Preferred Name, If Not First Name
Your answer
Today's Date
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Current Age
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Birthdate
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sex
Email Address
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Permanent Home Address
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Permanent Home Phone Number
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Cell Phone Number
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Educational Information
Please check the appropriate box as it applies to your secondary education
I have:
Have you taken any courses for college credit?
If yes, please list the universities you have attended and the number of credits completed
Your answer
What challenges, if any, do you have in the classroom?
choose all that apply
What accomodations have you had in the classroom in the past?
choose all that apply
Have you ever had an Individualized Education Plan (IEP) while attending school?
Have you ever had a Behavior Intervention Plan (BIP) while attending school?
What is your disability diagnosis/diagnoses?
Your answer
Please list any current or previous health problems you have experienced in the last 4 years
Your answer
Please list any hospitalizations you have experienced in the last 5 years
Your answer
Please list any current or previous allergies
Your answer
Will any of the conditions listed above require any special accommodations for living or transportation?
Are you currently taking any medications?
If yes, please list all prescribed medication
Your answer
Have you ever been found responsible for a disciplinary violation at an educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
If yes, please explain
Your answer
Please list any professional services you receive on a regular basis
Your answer
What are your strengths?
Your answer
What goals have you set for yourself?
Your answer
Why are you applying for UVU's Passages Program
Your answer
Learning Style Inventory
Untitled Section
It is easier for me to remember what I have learned when activities are hands on
Written assignments are easy for me to do
I learn better when a book is read to me than when I read silently to myself
I learn best when I study alone
It's easier for me to understand directions when they are written on the board
It's harder for me to complete a written assignment than an oral assignment
When I do math problems in my head, I say the numbers to myself
If I need help in class, I will ask a classmate for help.
It's easier for me to understand math problems that are written down rather than ones that are read out loud
I do not mind doing written assignments
I remember things I hear, better than things I read
I remember more of what I learn when I learn alone
I would rather read a story than listne to it read out loud
I feel that I can express myself better through conversation than through writing
If someone gives me three numbers to add, I can usually get the right answer without having to write them down
I like working in groups because I can learn from those within the group
Written math problems are easier for me to do than oral ones.
Writing a word several times helps me remember it.
I find it easier to remember what I have heard rather than what I have read
It is more fun to learn with classmates, but it is hard to study with them
I like written directions better than spoken directions
If homework was to be completed orally, I would do all of it.
When I hear a phone number read out loud, I can remember it without writing it down.
I get more done when I work with someone
Seeing a number is easier for me to comprehend that hearing a number read out loud
I like doing things with my hands such as simple repairs or crafts
I express myself better through writing rather than talking with someone
I study best when no one is around to talk or listen to
I would rather read about a subject than have a teacher tell me about it.
Speaking is a better way than writing if I want someone to understand me better.
When I have a written math problem to do, I read it out loud to myself to help me understand it.
I learn more about a subject when I work with a small group of students.
Seeing the price of something written down is easier for me to comprehend than having someone else tell me the price.
I like to make things with my hands.
I like tests that ask for sentence completion or written answers.
I understand more about a subject through class discussion rather than from reading about it.
I remember the spelling of a word better when I see it written down, rather than if someone spells it out loud.
Spelling and grammar rules make it hard for me to clearly say what I want when I write.
It's easier to do math problems when I say the numbers to myself.
I like studying with other people.
When a teacher says a number out loud, I do not understand it until I see it written down.
I understand what I have learned better when I am involved in making something for the subject.
Sometimes I say dumb things, but writing gives me time to correct myself.
I do well on test questions that have been talked about in class.
I can't think as clearly when I am working with someone else.
Your answer
Life Skills Inventory
Money Management and Consumer Awareness
Please check all of the following skills you have
Food Management
Please check all of the following skills you have:
Personal Appearance and Hygiene
Please check all the skills you have
Health
Please check all the skills you have
Housekeeping
Please check all the skills you have
Transportation
Please check all the skills you have
Job Seeking Skills
Please check all the skills you have
Job Maintenance Skills
Please check all the skills you have
Your answer
Emergency and Safety Skills
Please check all the skills you have
Knowledge of Community Resources
Please check all the skills you have
Legal Issues
Please check all the skills you have
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