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To Apply Participants Must

• Be 16-21 years of age
• Be enrolled in Pre-Employment Transition Services
• Have a desire to work  
• Hour Commitment:
  • School Session: 4-6 hours minimum – Up to 20 hours maximum per week
  • Summer Session: 12 – 15 hours minimum – Up to 40 hours maximum per week
• Provide own transportation to and from work

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Parent’s / Guardian’s Information *

First

Last

Email *

Phone Number

Student’s Information *

First

Last

School District *

Grade Fall of 2024 *

Is the Student enrolled in Pre-ETS (Pre-Employment Transition Services)? *

• Yes
• No

Comments / Questions *

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