18-21 Philomath Transition Program Registration

Welcome! Please complete this form to register for the Philomath STEPS (Supportive Transition Empowering Personal Success) Program. Please reach out to Emily Strong at Emily.Strong@philomath.k12.or.us to complete the online registration process.

Program Schedule Our schedule follows the Philomath School District calendar and aligns with Philomath High School hours:

  • Monday – Thursday: 8:00 AM – 3:10 PM

  • Friday: 8:00 AM – 12:10 PM

Eligibility Requirements

  • Students with disabilities (eligible for special education services under IDEA)

  • Philomath resident (ages 18–21)

  • Graduated with a modified diploma

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Student Full Name
Date of Birth
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DD
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Home Address:
Student Phone Number 
Parent or Guardian Full Name
Parent/Guardian Phone Number
Parent/Guardian Email:
Preferred Contact Method
Clear selection
Primary Focus Areas for Transition
Current Transportation Plan
Clear selection
Please provide any additional information, dietary needs, or medical requirements the staff should be aware of.
On a scale of 1-5, how confident does the student feel about navigating the community independently?
Not at all confident
Very confident
Clear selection
Which of the following vocational settings interest the student most? (Select all that apply)
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