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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  
• Commit to a minimum of:
  • 12-20 hours per week
  • For 7 to 10 weeks
  • Between June 3 – August 9. 
• Provide own transportation to and from work

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Parent’s / Guardian’s Information *

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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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