• Pre-Employment Transition (Pre-ETS) Form

    Pre-Employment Transition (Pre-ETS) Form

  • Thanks to our diverse funding and collaborative partnerships, including with the Rehabilitation Services Administration/Vocational Rehabilitation (RSA/VR), youth can participate in our programs at no charge. To receive this funding and facilitate Diverse Ability Incorporated's programs, participants must complete a Pre‑Employment Transition Services (Pre‑ETS) Form. This Form is the document RSA/VR uses to authorize funding support for eligible students.

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  • Tips for Completing the Pre-ETS Form

    Page 1: Must be completed by you and your legal guardian or parent (if applicable).

    Page 2: Must be completed by a professional who can verify that you are a student who has a disability. A professional may be any of the following:

    • Teacher
    • School Counselor
    • Principal
    • Disability Resource Center
    • Vocational Rehabilitation Counselor
    • A Medical Practitioner, such as a doctor or therapist.

    If you are unable to obtain verification from a professional:

    • Complete and upload Page 1.
    • Upload a copy of your IEP, 504 plan, SSI/SSDI award letter, or a medical diagnosis document that states that you are a person who has a disability.
    • Upload proof of school enrollment.

    If you are a minor or not your own guardian, your parent or guardian must assist and co-sign these documents with you. Even as a legal adult, you may benefit from support in completing these documents.

    If you need assistance completing the Pre-ETS Form, you may use the Pre-Employment Transition Services Request Form Checklist provided by the Rehabilitation Services Administration/Vocational Rehabilitation Services to keep track of your progress. You can also email us or call 602-425-5135.

  • Tips for Submitting Pre‑ETS Forms

    • The pre‑filled Pre‑ETS form is provided to the student’s parent or legal guardian to complete. You may also include the RSA Pre‑ETS Form Checklist as a helpful resource.
    • Once completed, the student returns the form to the school/program for verification.
    • School/program personnel use this system to upload completed Pre‑ETS forms for their students.

    If you need assistance, please email Liz Brunk or call 602‑425‑5135 ext. 108.

  • Format: (000) 000-0000.

  • Complete and Download Your Pre-ETS Form

    To complete your Pre‑ETS Form:

    • Click the image below to open the form in a new tab.
    • Complete all required fields in the form.
    • When finished, click the download icon (an arrow pointing down toward a horizontal line or box).
    • Select “With your changes.”
    • A Save dialog box will appear.
    • Enter your name in the Save As field.
    • Click Save.

    Important: After completing your Pre‑ETS Form, you must sign the document before uploading it below. You may:

    • Use an electronic signature tool (e.g., DocuSign, Adobe Acrobat, PandaDoc), or
    • Print the form, sign it by hand, and scan it.
  • Pre-ETS form

  • Upload Your Pre-ETS Form and Supporting Documents

  • Upload Pre-ETS Forms

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  • Please note that additional documentation may be required when submitting the Pre-ETS form. Examples include:

    • Individualized Education Plan (IEP) or 504 Plan (only page(s) which outline diagnosis);
    • Medical or psychological documentation with diagnosis by a licensed professional;
    • Proof of acceptance/enrollment into a post-secondary educational program; and
    • Proof of legal guardianship if the student has a legal guardian.

  • If you have difficulty completing this online form, please email us or call 602-425-5135.

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