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Voice Over Application
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Email
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Your email
Full Name
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Your answer
Date of Birth
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DD
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YYYY
Address
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Which Program Are You Applying to?
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Beginning Voice Over Adults (1/7/23-3/25/23)
Advanced Voice Over Adults (1/7/23-3/25/23)
Beginning Voice Over Teens - SOLD OUT
Advanced Voice Over Teens - SOLD OUT
Did You Have An IEP or 504 Plan in School?
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Yes
No
This program is conducted virtually via Zoom. Do you have a computer, camera, and accessible internet access?
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Yes
No
Are you willing to attend Saturdays from 1:30pm - 3:00pm?
Yes
No
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Are You Currently Enrolled in College?
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Yes
No
Are You A Client of the Regional Center?
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Yes
No
Will you be using Self-Determination Funds to pay for this program?
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Yes
No
Name of Regional Center
Your answer
Name of Service Coordinator
Your answer
Service Coordinator Phone Number
Your answer
Service Coordinator Email Address
Your answer
Are You A Client of Department of Rehabilitation?
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Yes
No
Department of Rehabilitation Office Address
Your answer
Name of Case Worker
Your answer
Case Worker Phone Number
Your answer
Case Worker Email Address
Your answer
Briefly Describe Why You Want to Attend our Program
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Your answer
How Did You Hear About Us?
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Your answer
If accepted, you will need to place a credit card on file which will be debited on the 1st of every month in the amount of $250.00. Are you able/willing to do this?
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Yes
No
Do You Accept the Terms, Conditions and Privacy Policy?
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No
After you submit this application, a program supervisor will reach out you. Please write the best way for us to reach you either by phone or email address.
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Your answer
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