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!

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.* 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
Please Click to confirm that you have selected a preferred session: June 3-7 OR June 10-14:(Required)
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