CTI Services 23-24
This form will serve as parents giving permission for their child to receive CTI Services from a CTI Coordinator. 

Lisa L Williams, Ed.S

CTI Coordinator

Mount Zion High School 

2535 Mt. Zion Parkway 

Jonesboro, GA 30236

770-473-2940 ext  507 149


Email *

Greetings Parent(s) or Guardian(s)

       My name is Lisa L. Williams, I want to introduce myself in my new role as a  Career and Technical Instructor and Coordinator (CTI). I am excited and looking forward to working closely with students and parents. Career and Technical Instruction (CTI) is a specialized intervention service designed to support high school students enrolled in Career, Technical, and Agricultural Education classes. The program's primary goals are to provide these students with appropriate support in the CTAE classes that result in the attainment of entry-level job skills, self-advocacy skills, transition skills, and pathway completion. These primary goals are best achieved with the support of a team.

        As the CTI Instructor/Coordinator, I will service your child in their CTAE classroom. I will also, on occasion, pull them out for extra support when necessary. It is imperative that I amend their IEP ( Individual Education Program) to reflect the services that I will be providing. I request your permission to attend an amendment meeting with the IEP team and add CTI services to their current IEP. If you can attend the meeting by zoom or in person. If you can not attend the meeting we can still add services.

 I will be spearheading this program at Mount Zion High School. It is my goal to implement this program with fidelity and set an example. If you have any questions please contact me Lisa L. Williams, Ed.S @ 770-473-2940 ext.507149 or lisa.williams@clayton.k12.ga.us


Who you like for your child to receive CTI Services? *
Parent Name *
Mailing Address, Include Street Address, City, State, and ZipCode.  ( Example) 

1234 First Street, Jonesboro, GA 30236 

 *
Parent Email Address *
Parent Cellphone Number *
Student Name  *
Student Number ( also known as the lunch number starts with an 0) *
Student Social Security Number( SSN) needed for free educational services and employment skills training and other free program! Please enter below. 
Disclaimer from Providers: 

If you do not want to input your child SSN on this form and you prefer to talk to someone first... Please select the best option for you  *
Required
Student Email Address- Can not be the school email.. Student Personal email ( gmail is preferred)  *
Please read the information below and sign and date.

I , ________________ ( type name below)  give my permission to move forward with the amendment meeting to enter in service hours for CTI and no other changes to be made. I will receive a prior written notice after the meeting for my review and signature and the services will be implemented 10 days after the meeting.
Thanks in advance,
Lisa Williams, Ed.S
CTI Coordinator, MZHS

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If you are attending the Amendment IEP Meeting will you meet face to face or virtual.
 *
 To schedule a meeting click here 
 click here to schedule a meeting and I will contact you  to confirm the meeting. You can select it here and type it in the box .
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