Summer Program 2021
Youth Discovering Opportunity
Virtual Summer Program 2021

Are you a youth or young adult with a disability age 14-25?
Are you looking for something to do this summer?
Well, you're in luck!

Join RICV for two, fun filled two-week sessions to learn more about opportunities, yourself, and skills for all aspects of life!
Session 1
June 29-July 8 2021
Tuesdays, Wednesdays, and Thursdays 10:30 am-1:00 pm
Plus a fun activity Wednesdays 2:30-4:00 pm

Topics:
Civic Duty and Responsibility
Advocacy
Nutrition
Disability Pride
Career Exploration
Intersectionality, Diversity, and Culture
And More…
Session 2
July 27-August 5 2021
Tuesdays, Wednesdays, and Thursdays 10:30 am-1:00 pm
Plus a fun activity Wednesdays 2:30-4:00 pm

Topics:
Life Skills for Success
Email
Using an electronic calendar
Note Taking
Time Management
Critical Thinking and Decision Making
Self-Knowledge
General Reading and Math Skills…Yes, you do need them!
And Much More…
Please Note: Some sessions will be split up into age appropriate groups to cover certain skills. Which may include:
IEP Meetings
Bullying
Sexual Health
Relationships

Registration Deadline: June 22, 2021 5:00 pm

Any questions email RICV.Youth-summerprogram@ricv.org or call 559-221-2330 and leave a message for Sarah Harris, Program Manager.
Email *
Youth information
Please fill out PARTICIPANT information here
Name (first, last) *
Address (city, county, state, zip) *
What county do you live in?
Clear selection
Email *
Phone Number *
Age *
Type of Disability if applicable (Please check all that apply) *
Required
Are you: *
Required
Please list any accommodations needed for the attendee: *
I have the necessary equipment (i.e laptop,computer, tablet, access to reliable internet) to participate in the virtual summer program over zoom *
Emergency Contact Information
Please provide information of parent/guardian, family member, or emergency contact here.
Name (first, last) *
Email *
Phone Number *
Is this individual a: *
Photo and Video Release
Resources for Independence Central Valley has my permission to promote their services with videos or pictures of myself.
I understand that the images or videos may be used in print publication, online publications, presentations, websites, and social media. I also understand that I will not be compensated for using the pictures/videos. If under the age of 18 please have your parent or guardian answer this: *
Type Your Initials here *
Submit
Never submit passwords through Google Forms.
This form was created inside of Resources for Independence, Central Valley. Report Abuse