2021-22 School Year Interest Form
Please fill-in the blanks below if you're interested in becoming part of a new post-secondary public school partnership for transition students with autism & related neurodivergent conditions brought to you by Easterseals and Austin ISD.
Student Name (First and Last) *
Date of Birth *
Phone #: *
E-mail address: *
Current School: *
Has student satisfied credit requirements for high school graduation, including participation in all required state assessments (or will they by the end of the 2020-21 school year)? *
Does student currently qualify for special education services with an eligibility of autism or a related condition? *
Please briefly describe student's highest priority transition service goals from their most recent Individualized Education Plan (IEP): *
Please briefly describe student's preferred learning style(s) (i.e. visual, auditory, kinesthetic) and optimal learning environment: *
Creative arts and technology will be at the center of this school’s curricula. Please briefly describe student’s talents and interests in these areas: *
Does student have career goal(s) in the areas of creative arts and/or technology? If yes, please describe any specific employment goals below: *
Does student participate in any activities, therapies, or classes outside of school? If so, please describe and let us know if any of these take place during general school hours and/or if it is anticipated that they will in the 2021-22 school year? *
Does student receive in-school support services such as speech therapy, behavioral supports, sensory supports, etc.? If yes, please briefly describe: *
In a brief paragraph, student should explain their interest in this program: *
Is there anything else you'd like for us to know?
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