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Summer Transition Workshop

For High School Students, age 16 and older, with a Disability You can earn up to $300 for the week!

Monday through Friday

Preferred Date Must Be Checked
June 12 – 16, 2024 - 9 AM to 2 PM
June 19 – 23, 2024 - 9 AM to 2 PM

*Sessions are at Hilton Garden Inn in Rapid City 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
Case Manager'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