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Summer Transition Week

For high school students, ages 16 and older, with a disability. You can earn up to $300 for the week!

Preferred Date Must Be Checked!

Please select: June 3-7 OR June 10-14* (*Some work, volunteer, or Project Skills experience required for June 10th session.)
*Some work, volunteer, or Project Skills experience required for June 10th session.
*Some work, volunteer, or Project Skills experience required for June 10th session.

*Sessions are at the TIE / Compass Office in Rapid City (1925 Plaza Blvd. Rapid City, SD 57702) and transportation is on your own.*

Student Information

Student Name
Date of Birth
Student Address
Vocational Rehabilitation Counselor's Name

Parent/Guardian Information

Parent/Guardian Name (*Required for Acceptance into the Program*)
Date
Date

Permission:

I grant permission to Black Hills Special Services to exchange information with my Case Manager including access to my IEP and MDAT.
Student Consent
Today's Date
Parent/Guardian Consent
Today's Date
Please Click to confirm that you have selected a preferred session: June 3-7 OR June 10-14:(Required)
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