Please fill out the very short survey:
What is your first name?
What is your last name?
What is your date of birth? (mm/dd/yyyy format please)
Which district did you last attend? (Please select only one)
A. Are you enrolled in Higher Education?
If yes, select what you are enrolled in:
B. Are you enrolled in some other postsecondary education or training program?
If yes, check what you are enrolled in:
C. Are you competitively employed? (i.e., work for pay at or above the minimum wage and work with others who are non-disabled, OR, self-employed and work an average of 20 or more hours per week)
D. If you answered “No” to question C above, are you in some other type of employment? (e.g., work in sheltered or other type of supported employment)