Make Promises Happen Transition Academy Information Form
This program has a limited number of spots, please fill out this application and one of our directors will be in contact with you regarding your application status ASAP. Thank you for your interest in our program!
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Email *
parent / guardian Name, Email Address and Phone Number- *
Students Name: *
Students Age: *
Does your student get dressed: *
Required
Comments if any:
Does your student tie their own shoes: *
Comments if any:
Basic Hygiene Tasks (brushes teeth, showers, etc): *
Comments if any:
Cooks small meals / prepares food themselves: *
Comments if any:
What are your students employment goals? *
What are your students independent living goals if any: *
What are your students biggest transition related strengths? *
What are your students biggest transition related weaknesses? *
Has your student participated in any other post secondary programs? *
Choose the personal information that your student can independently state: *
Required
Any additional information you wish to share with us regarding your student:
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