CareerSTEPS- Career Camp Interest Form

Westmoreland Casemanagement and Supports, Inc. (WCSI) in partnership with Regional Integrated Human Services (RIHS) received a grant from the Community Foundation of Westmoreland County to provide a Career Camp for young adults aged 13-18 with an intellectual disability in Westmoreland County. Please complete the following information if you are interested in attending an upcoming Career Camp!

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* 1. Please enter your contact information:

Name *

School District *

Home Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Parent/Guardian Name *

Email Address *

Phone Number *

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* 2. Are you between the ages of 13-18 and currently enrolled in a middle or high school?

Yes

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* 3. Would you be interested in attending a Career Camp?

Yes

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* 4. Why are you interested in attending a Career Camp?

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* 5. When would a Career Camp best meet your schedule? (Check all that apply)

Holiday Career Camp- Between December 23- December 31, 2019

Spring Break Career Camp- April 2020

Summer Career Camp- June 2020

Any of the above

Other (please specify):

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* 6. What topics would you like to learn more about during the Career Camp? (Check all that apply)

Mental Health First Aid Certification

Social Media

Resume/Cover Letter Writing

Mock Interviews

CPR/AED/First Aid Certification

Budgeting

Job Search Techniques

Vaping/Drug Awareness

Financial Literacy

Banking 101

Interview Questions

Workplace Skills

Keeping a Job

Job Interest Inventories

Field Trip to local trade school

Field Trip to local business

Field Trip to local college

Other (please specify):