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ex: 1/2/2005


Email must be different for each individual listed on application

*To add additional contacts use the Add Another Contact link below the first contact
Family Contacts

must be unique for each contact

ex: ###-###-####

(If different than applicant)

(If different than applicant)

(if different than applicant)

(If different than applicant)

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Student Educational Information

ex: 1/2/2005

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Short Answers About Your Student 
We want to get to know about your student and their interests, plans, and goals. Please complete these questions. 

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Reading and Writing

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Orientation & Mobility

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The next three sections: Daily Living Skills, Social Skills and Organization Skills contain questions with radio button responses. If using a screen reader, please be advised you may need to turn off the virtual cursor before tabbing through the form to mark the appropriate radio button for each question. 
Daily Living Skills
Not Attempted Require Support Independent
Social Skills
Not Developed Developing Strong
Organization Skills
Not Developed Developing Strong

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Medical and Mental Health 

Person Who Is Completing the Application

ex: ###-###-####

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Required Application Documents

Submit application materials here or by mail, email, or fax. File types that can be uploaded:

  • .doc (Older Microsoft Word format)
  • .docx (Current Microsoft Word format)
  • .pdf (Adobe PDF)
  • .odt (Open Office word processor document)
If you have any questions about this, please contact the Admission Office.

Supplemental Application Materials   

Optional Additional Application Materials

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