Project SEARCH of the Black Hills

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

Monday through Friday

Preferred Date Must Be Checked
June 3 – 7, 2024 - 9 AM to 2 PM
June 10 – 14, 2024 - 9 AM to 2 PM

*Sessions are at the TIE / Compass Office in Rapid City (1925 Plaza Blvd. Rapid City, SD 57702) and transportation is on your own.* If you need assistance completing this form, contact Heather Hoeye at 605.430.3263.

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.
Today's Date
Today's Date