2018-2019 Spring Guiding the Journey Application

Families will be informed that they've been accepted by January 3, 2019.

Complete this application only if you are able to attend ALL training sessions.

Training dates are:

February 9, 2019

March 16, 2019

April 6, 2019

May 11, 2019

All training times are from 9:00am to 4:00pm and will be held at North Point HS, 2500 Davis Rd., Waldorf, MD 20603.

If you need any assistance completing the application or have any questions, email Missy Alexander at missy@ppmd.org.

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* 1. Please provide your contact information.

First Name: *

Last Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Are you able to commit to ALL required training activities?

Yes

Comment

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* 3. In what county of Maryland do you live?

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* 4. Are you Hispanic?

Yes

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* 5. What is your race?

White

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

Multiple races

Other (please specify)

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* 6. Please tell us about your child(ren) with a disability.

	Age	Disability
Child 1	Child 1 Age menu	Child 1 Disability menu
Child 2	Child 2 Age menu	Child 2 Disability menu
Child 3	Child 3 Age menu	Child 3 Disability menu
Child 4	Child 4 Age menu	Child 4 Disability menu

Other (please specify)

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* 7. Where does your child attend school?

Public school

Non-public school (paid by the school system)

Private school (paid by the family)

Maryland School for the Deaf

Home schooled

Other (please specify)

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* 8. What do you envision for your child after high school?

College pursuing a degree (two or four year university/college)

Military

College Experience Program for people with intellectual disabilities

Technical/trade school

Pursuing paid employment

Community-Based Day Program

Other (please specify)

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* 9. Tell us your experience with the Transition process so far.

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* 10. Tell us why you should be chosen to participate in this Transition training.

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* 11. How will you use the information learned in this training?

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* 12. Do you need a sign language interpreter?

Yes

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* 13. Do you have any other language needs (i.e. French, Chinese, Mandarin, Large Print, etc.)

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* 14. ACCOMMODATIONS: Please tell us any accommodations that you require (including dietary). Please note that we will try to make reasonable accommodations but you may need to consider bringing food you are confident will meet your needs.