For high school students, ages 16 and older, with a disability. You can earn up to $200 for the week!

Preferred Date Must Be Checked!

Please select: July 21-25 OR July 28-August 1* (*Some work, volunteer, or Project SEARCH participation is required for July 28th session.)
*Some work, volunteer, or Project SEARCH participation is required for July 28th session.
*Some work, volunteer, or Project SEARCH participation is required for July 28th session.

*Sessions are at the Compass Office (formerly TIE) 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*)
Clear Signature
Date
Clear Signature
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
Please Click to confirm that you have selected a preferred session: July 21-25 OR July 28-August 1:(Required)