PSE Interest Form - AbleVoices

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Thank you for your interest in the AbleVoices 'Photography for Self-Expression' course! The next virtual section of this class will be offered in September 2023. Please respond to the questions below and AbleVoices will contact you about registration dates and details.

Email *

Name of individual filling out this form? *

Phone number of person filling out this form? *

What is your relationship to the student who will take the course? Type N/A if student is filling out this form. *

Student name (type N/A if same as person filling out form): *

Student birthday: *

YYYY

City and state where the student resides. *

Does student have daily access to a camera or a smart phone? *

Yes

Does student have daily access to the an internet connection and also a device or computer to access the internet? *

Yes

Is the student comfortable using Zoom for virtual meetings? *

Yes

Does student have an intellectual or developmental disability? *

Yes

If yes to the question above, please briefly describe. If no, type N/A. *

AbleVoices requests grant funds to keep the course cost low for students and families. Because of this, we require at least 80% attendance of the virtual sessions and submission of a short evaluation at the end of class. Are you agreeable to these terms? *

Yes

Other:

Where or from whom did you learn about AbleVoices? *

Please use the space below to ask any questions you may have or to provide additional information.

By typing your name below, you certify that all of the information submitted in this form is accurate and true and that you understand what is needed to participate in the Photography for Self-Expression course. *

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