WCBVI 2021 VIRTUAL PRE-EMPLOYABILITY SKILLS PROGRAM INTEREST FORM
Please complete the following questionnaire by Friday, May 14th and a WCBVI Outreach Team Member will contact you following its submission. Programming will take place the weeks of July 6-16, 2021 with possible pre-program activities the week of June 29-July 2, 2021.

The focus of the virtual pre-employability program will be on developing skills to enhance employment and life skills.  There will also be minimal instruction in daily living skills and Orientation and Mobility.

A one-week online program focusing on pre-employment strategies relating to work.  Students will gain ten hours of paid work performing work from their home.  Work will be supported via online instructors.  Jobs will be designated by program staff.  The entire program will be online, via either recorded modules or virtual connections with no in person instruction.

If you would like any assistance in completing this form or have questions, please contact:

Jacklynne Ramirez
WCBVI Outreach Office Operations Associate
Phone: (608) 758-6148
Email: jacklynne.ramirez@wcbvi.k12.wi.us
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Parent/Guardian Name *
Student Name:
Opt in statement: by completing the student name section of this form, you state that you understand that student name is Personally Identifiable Information (PII). If you do not wish to share your students PII on this form, please leave a message with the student name for Outreach at (608) 758-6148.
Parent/Guardian Street Address *
City, State, Zip *
Parent/Guardian Telephone *
Parent/Guardian Email *
Preferred method of contact *
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