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Student Application

Please Note: Once you begin the application process you must complete the section and hit submit. You cannot save your changes and come back later to finish. You may look the application over and gather the information you need before you start.

Personal Data

Student Goals

Student Information

Transportation

Work History and Job Experiences

Job Skills

Do you feel that any of the following tasks might be difficult for you?
Have you met with the Project SEARCH Coordinator at your IEP or any other meeting?

Standout Question

By clicking submit: I understand that if I am accepted into this program, I will need to complete a health screening through Employee Health at Summa Health System. Prior to doing so, I will need the following vaccinations: 2 MMRs and 2 variccella . Part of the screening process is a TB test that must be done 30 days prior to program entrance and must be done at Employee Health at Summa Health. All participants are required to receive a flu shot in the fall.

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Options to Request an Appointment

If your situation is an emergency, call 911.