Summer Transition Program Interest Form
Thank you for your interest in our summer program for teens in the Maryland area. This program supports youth who may need help building confidence, spatial awareness, sensory awareness, and transition readiness for college or post-secondary life. Please complete this short form and we will follow up with details.
Parent/Guardian Full Name
*
First Name
Last Name
Teen’s First and Last Name
*
First Name
Last Name
Teen’s Age
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What county do you live in?
*
Is your teen preparing for college, a certificate program, job training, or another next step?
*
College
Community College
Certificate Program
Job Training
Not sure yet
Other
What kind of support would be most helpful for your teen?
*
Spatial awareness
Sensory awareness/regulation
Social confidence
Communication/self-advocacy
Routine and independence
Transition to college environment
Other
What county in Maryland do you live?
*
Does your teen have any specific learning, developmental, sensory, or support needs you would like us to be aware of?
What day or time would work best for a weekly summer meet-up?
Weekday morning
Weekday afternoon
Weekday evening
Saturday morning
Saturday afternoon
Would you like to receive program updates and registration information?
*
Yes
No
Is there anything else you would like us to know?
Submit Interest
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