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2024-2025 Transition Program Application
This application must be completed as a part of Admission to Kansas State School for the Blind Transition program. Please contact Lori Smith at
lsmith@kssdb.org
with any questions.
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* Indicates required question
Email
*
Your email
KSSB Logo
Which Transition Program are you applying for
*
Project LIFE Program
Project SEARCH (will need to also complete Project SEARCH application:
https://forms.gle/UFXxToz1u8kCG8cM7
)
I would like to attend Technical Education Center for Certificate Program
I would like to attend traditional Community College Program
I'm not sure, can someone contact me?
Other:
Required
Student Name
*
Provide full name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current grade
*
11
12
Other:
Required
Student Home Address
*
List primary residence including city, state and zip code.
Your answer
Student Cell Phone
*
Your answer
Student email address
*
Your answer
Parent Name
*
Your answer
Parent Cell Phone
*
Your answer
Parent Email
*
Your answer
Name of High School and USD #
*
Your answer
TSVI Name
*
Your answer
TSVI Phone #
*
Your answer
TSVI Email address
*
Your answer
O&M Name
*
Your answer
O&M Phone #
*
Your answer
O&M Email
*
Your answer
Does Student use a Cane?
*
Yes
No
Sometimes
Other:
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