Pre-ETS Inquiry Please check all that apply *I have an IEP or I am receiving an accommodation under Section 504.I have a reliable way to get to and from classes and a work experience.I do not require supervision above and beyond what would customarily be available at a worksite.My school/personal schedule can accommodate at least 10 hours/week for my work experience.If you checked all of the above, you are likely eligible for the program. Please provide contact information, and someone will be in touch shortly.Contact information for: *StudentParent/CaregiverName *FirstLastEmail *Phone *When is the best time to call you? *What is the student's school district? *What is the student's current grade? *9101112Has the student been registered with the Division of Vocational Rehabilitation Services? *YesNoDon't KnowComments/Questions:PhoneSubmit
