UtmostU Enrollment Form (2025-2026)

Contact Information

Phone

Can this phone receive text messages?

Personal Email

Which email do you check most often?

Secondary or School Email

Who is your emergency contact?

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact's Relationship to You

Where do you call home?

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Do you live in the City of Chicago?

Which Chicago Community Area do you consider home?

Name of Chicago High School Attended

Error

Sorry, UtmostU Enrollment is currently closed for this year. Please reach out to the organization supporting you or to fellowsupport@utmostu.org if you have any questions

Understanding Your Support Needs

The following questions help us support you with the right resources.

HS Grad Year

Do you identify as having a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that limits a major life activity. Examples can include ADHD, Autism, Blindness, Deafness, Cancer, Crohn's Disease, Diabetes, Dyslexia, and Cerebral Palsy, Wheelchair use, and more.

Did either of your parents graduate with a Bachelor's Degree?

Are you a parent or primary caregiver to anyone under 18?

Are you a veteran

Do you qualify for federal financial aid?

Now, tell us your goals.

Which best describes your plan for the next 6 months/Fall 2025?

Entering the Workforce

Do you already have a job lined up?

What are your career interests/goals?

Post-Secondary Institution Information

As of today's date, where are you currently enrolled?

If you are still in high school, where do you plan to go to college? If you have already graduated, where are you currently enrolled or where do you plan to enroll?

Where do you plan to enroll?

Academic Area You Plan to Study

Choose the closest match

Professional credential or training program

Are you enrolled in Xchange Chicago?

Yes

No

Do you plan to enroll in a professional credential or training program in the next 6 months?

What area do you plan to gert a certificate in?

Choose the closest match

If you do not fulfill your responsibilities as part of this agreement, UtmostU has the right to remove you from the program. We certainly do not want to do this, but we need to make this clear.

I will regularly review UtmostU communications (both email and texts) to stay up-to-date on opportunities

UtmostU can hook you up with loads of resources that help get you on the path to success ranging from internships, summer classes, and scholarships to help keep you going. We regularly send out emails and texts, as well as social media posts that will keep you up-to-date!

I will connect with my coach to discuss changes in my post-secondary plan including transferring, withdrawing, or other changes.

We understand life happens and your interests may change! Knowing this information will help us support you.

I will provide my coach with relevant information regarding my academic and career journey including transcripts, FAFSA information, job attainment details, etc.

This can include unofficial transcripts, FAFSA and Financial Aid information, class schedules, etc.

I understand that meeting with my coach regularly is the expectation of the UtmostU program.

This may be over a phone or video call, texts, social media, or in-person meeting.

Sign up for text messages from UtmostU & your coach

I agree

By checking the box above, you agree to receive text messages from UtmostU and your affiliate organization related to your post-secondary journey. Message & data rates may apply. Message frequency varies. Reply HELP for help and STOP to cancel. View Terms of Service and Privacy Policy.

Please read the below statement and let us know we're on the same page.

Your privacy is important to us.

I agree that UtmostU may share my personal information with its supporting staff and its affiliates to assist UtmostU and its affiliates in administering the program. I am aware that the personal information that UtmostU may share may identify me and may include details such as name, address, phone number, email address, birthdate, ethnicity, gender, and certain financial information.

I agree.

Textbooks and Materials	Tuition and Fees	Daily Living Expenses
Transportation	Uniform or Scrubs	Medical care
Mental health care