What the TEC?
We are so glad you are interested in joining us monthly on Saturday! 
Applicants must meet the following criteria:

● Diagnosed with a developmental disability with an IEP or qualified for DMH or Voc Rehab services;
● Demonstrates basic communication skills;
● Motivated to learn skills to increase independence;
● Possess sufficient emotional maturity and stability to participate in all aspects of the program;
● Demonstrate the ability to accept and follow reasonable rules and expectations;
● Interact respectfully with peers and staff;
● Capable of maintaining behavior which does not impede oneself or others from fully
participating in all aspects of community activities; and
● Does not pose a danger to oneself or others.

Exceptional Humans reviews all program interest forms for applicants meeting the above criteria regardless of socioeconomic status, race, gender, sexual orientation, religion, or national origin.
If you require a printed copy or have any questions concerning our programs, please
email kelly@excpetional-humans.org


Once the program interest form is submitted, a director will follow-up with an email confirming details.
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Email *
Name of Participant (First, Middle Initial, Last) *
Scholar Date of Birth *
MM
/
DD
/
YYYY
Parent or Guardian Name: *
Contact Information
Home Address (Street, City, State, Zip Code): *
County of Residence *
Scholar Phone Number (when applicable): *
Parent/Guardian Phone Number: *
Participant Email Address (when applicable): *
Parent/Guardian Email Address: *
Personal History
What activities and programs have you participated in?
Please share what a current day in your life entails. *
Please list three of your favorite things to do. *
Thank you for your interest in our What the TEC? program! 

We will be in contact soon.
A copy of your responses will be emailed to the address you provided.
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