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IDEA Certification Program - Application form for STUDENTS for Spring 2024. Due by February 3, 2024
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Full name:
*
Your answer
Email address:
Your answer
Classification:
*
ELI
Freshman
Sophomore
Junior
Senior
Graduate Student
PHD
Special Student
Major:
*
Your answer
Expected date of graduation:
*
Your answer
Where do do you live?
*
On Campus in Spring 2024
Off Campus in Spring 2024
Hearing status:
*
Deaf
DeafBlind
Deaf+
Hard of Hearing
CODA
Hearing
Gender:
*
Male
Female
Transgender
Nonbinary
Gender non-conforming
Prefer not to say
Required
Race/Ethnicity:
*
American Indian / Alaska Native/ Native American
Asian / Pacific Islander
Black / African American
Hispanic / Latina/o/x
White
Multiracial
Other
Required
If your ethnicity is not listed here, please feel free to tell us here:
Your answer
Do you need any accommodations?
*
Yes
No
Maybe
What kind of accommodations do you need?
Your answer
Why are you interested in the I.D.E.A. program?
*
Your answer
Can you commit to attend the Reading Reflection Club in Spring 2024 on every Friday from 12 pm to 1 pm?
*
Yes
No
Required
Can you commit to attend the I.D.E.A Developing Skills in Fall 2024 on every Friday from 12 pm to 1 pm?
*
Yes
No
Can you commit to the action plan?
*
Yes
No
Comments:
Your answer
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