Home About Us Philosophy Orton Gillingham Methodology Mission History Statistics Services Writing Reading Math BA Foreign Language Requirement Options Organizational Tutors Apply to Program How to Apply to Project Success High School Students Current UWO Students Transfer Students Current Students Program Forms Policies & Procedures Math 100, 101 & 103 Supplemental Review (SR) Lab Hours Tutor List Scholarships Upcoming Events & Reminders Summer Program Virtual Open House Summer Courses Summer Program FAQ’s Benefits of Attending the Summer Program Summer Program To-Do List Summer Program Scholarship Resources School Counselors & Special Education Teachers Parents Current Students UW Oshkosh Faculty & Staff Upcoming Transition Fairs & High School Visits Alumni Stories Contact Us Staff Directory Project Success Application Personal InformationName* First Last Date*mm/dd/yyyy Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Date of Birth*mm/dd/yyyy Date Format: MM slash DD slash YYYY Age*Phone*(###) ###-####Email* Parents/Guardians NamesFather* First Last Mother* First Last Parent Phone Number*(###) ###-###Parent Email* Residency StatusAre you a Wisconsin or Minnesota resident for tuition purposes?*Yes, I am a Wisconsin or Minnesota resident and plan to pay resident tuitionNo, I am a non-resident and plan to pay non-resident tuitionWhat is your expected High School Graduation date?*mm/dd/yyyy Date Format: MM slash DD slash YYYY Information About Your DisabilityDate of initial evaluation of dyslexia or learning disability*mm/dd/yyyy Date Format: MM slash DD slash YYYY **Please send a copy of your most recent documentation with this application**Please provide the following information on the person who first or most recently diagnosed your learning disability or dyslexia:Name* First Last Professional Title*What is the date of your most recent evaluation of your disability?*mm/dd/yyyy Date Format: MM slash DD slash YYYY Do you have a copy of your most recent evaluation?*YesNoPlease check the areas that are most difficult for you because of your disability:Reading Word Attack Reading Rate Comprehension Written Expression/ Spelling Spelling Writing Mechanics Paragraph/ Theme Development Mathematics Basic Facts Story Problems Basic Operations/ Calculations Study Skills Note-taking Test Preparation Time Management High School InformationPlease provide the name and address of the high school where you graduated or are currently attending:School Name*School Location*Did you receive Special Education Services during High School?*YesNoDid you have an Individualized Education Plan?*YesNoWhat types of services did you receive?*Extra Testing TimeTest ReaderResource RoomPostsecondary Education InformationHave you attended a postsecondary school such as a college, university or technical school?*YesNoSchool NameSchool LocationStart Datemm/dd/yyyy Date Format: MM slash DD slash YYYY End Datemm/dd/yyyy Date Format: MM slash DD slash YYYY Credits EarnedGPA0.00Did you receive accommodations for your disability at this institution?YesNoWhat types of services did you receive?Extra Testing TimeTest ReaderResource RoomHow did you hear about Project Success?*Did you see a representative of Project Success at a Transition fair and/or campus visit?*YesNoIf so, which state/fair and/or Project Success representative?Application To-Do ListPlease make sure to include the following when submitting the application:Copy of Most Recent Disability Documentation*ACT/SAT Scores (Recommended, but not required)High School Transcript complete through Junior Year*Do not send report cards or similar documentsSenior Year Schedule for the whole year, both first and second semester*Hand-written Letter of Interest*Date sent in*mm/dd/yyyy Date Format: MM slash DD slash YYYY Project Success recommends applying to the program during second semester Junior year or first semester Senior year.
