Please join us for our annual events and campaigns.

Every year we schedule events and annual campaigns to bring the people we serve, our partners, area businesses, special educators and community together to take part in events that are educational, community focused and fun to support people with disabilities in CT.

We would like you to join in! Your participation helps us train and connect with more people with disabilities to help them succeed at work, in school, at home and to integrate into their communities. Click on the Calendar to the right to see what we have planned.

UPCOMING EVENTS

The May 3, 2021, Golf Tournament, Stonington Country Club

PAST EVENTS

The Elsie Bellows Fund is currently exhausted due to extremely high demand.

The Elsie S. Bellows Fund was established in 1995 to provide Assistive Technology (AT) tools for people with disabilities. AT equipment like the iPad and its applications play a major role to help students with disabilities excel at school and lead more independent, fulfilling lives.

Congratulations to Ellijah Davila, the 2020 recipient of the Nathaniel Bennett Memorial Award!

UCP's 2019 Annual Meeting, Awards Ceremony & 70th Anniversary: Watch Highlights!

Personal Data
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Cellular Phone Number
E-Mail Address*
Date of Birth*
MM slash DD slash YYYY
Gender
Are you a student?
- I am a student
School Currently Attending*

Current DDS Provider

Name	Type of Service

Please list name and type of service (GSE, Day, ISE, IDV etc.)

Referral Contact Information
Referral Contact Name
First Middle Last
Referral Contact Email
Referral Contact Address
Street Address Address Line 2 City State ZIP Code
Referral Contact Cellular Phone Number
Referral Contact Signature
Referral Contact Signed Date
MM slash DD slash YYYY
Referral Contact Name
First Middle Last
Referral Contact Email
Referral Contact Address
Street Address Address Line 2 City State ZIP Code
Referral Contact Cellular Phone Number
Referral Contact Signature
Intern Candidate Information
1. Universal Release: I authorize the release of educational and employment records concerning the intern candidate from his or her school, DDS program or Employer to UCP of Eastern CT and Project SEARCH Partners.
2. Equal Opportunity: Project SEARCH placement will be made without regard to race, color, age, sex, national origin, cultural or economic background, housing circumstances is entitled to equal opportunity for educational development.
Candidate Signature*
Signed Date*
MM slash DD slash YYYY
Future Employment Preferences and Background
What is your career of interest?*
How do you want to be employed in the community upon the completion of Project SEARCH?*
- Full-time
- Part-time
List jobs you do or have done in the school or in the community (paid or volunteer)
Employer
Contact Number
Supervisors Name/Title
- Paid
- Unpaid
Date Started
Date Ended

Job Duties

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<img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' />

Employer
Contact Number
Supervisors Name/Title
- Paid
- Unpaid
Date Started
Date Ended

Job Duties

<img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-add.svg' alt='' title='Add a new row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-add.svg' alt='' title='Add a new row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-add.svg' alt='' title='Add a new row' />

<img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img data-src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' src='data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==' class='lazyload' /><noscript><img src='https://ucpect.org/wp-content/plugins/gravityforms/images/list-remove.svg' alt='' title='Remove this row' />

List other jobs you do or have done in the school or in the community (paid or volunteer)
Candidate Response Question
Why do you want to participate in Project SEARCH?*
Complete in your own words and/or person assisting will write the responses in the candidate's own words.
References:
Please provide 3 references.

Required*

Name	Relationship	Phone Number	Email Address

Assistance
The person assisting the candidate to complete this application is:
Name*
First Last
Title*
Organization*
Phone Nuimber*
Email*
Signature*
Date
MM slash DD slash YYYY
School Personnel Only
- Completed Application Packet (Student/Family completes and submits)
- High School Transcript (Local School/EUPISD will submit on behalf of intern)
- Attendance Record (Local School/EUPISD will submit on behalf of intern)
- Current IEP (Local School/EUPISD will submit on behalf of intern)
- Most Recent Evaluation Team Report (Local School/EUPISD will submit on behalf of intern)
Phone
This field is for validation purposes and should be left unchanged.

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