Studio Beacons Interest Form
Thank you for your interest in the Studio Beacons art program. Studio Beacons is a 5 days per week, 1 year program consisting of a fall and spring session.  If you would like to be added to Studio Beacons' interest list, please complete the questionnaire below. Filling out this interest form is not a guarantee of admittance to the Studio Beacons program. After completion of the interest survey, you will be contacted by our staff to inform you of availability and discuss the requirements of the program. If there is availability and your applicant meets all requirements, you will be sent an application and asked to contact your service coordinator to have paperwork sent to Explorer. Upon review of your application and other paperwork you will be contacted and may be asked to come in for an entrance interview.  Thank you for your interest! 

Andi Woolley
Director of Studio Beacons
Email: studio@beaconsnorthcounty.com
Telephone: 760-448-6230
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Email *
Participant's name  *
Persons's name who is completing this form: *
Parent/Conservator name *
Phone number *
What areas of interest does the participant have? (Check all that apply) *
Required
Is the applicant independent in their self care? *
Is the applicant capable of communicating their basic needs? *
Is the applicant capable of functional communication  with peers and instructors? *
Does the applicant require the support of a personal care attendant or 1:1 support due to medical or other issues? *
Does the applicant display any disruptive or maladaptive behaviors? *
Does the applicant have access to transportation to and from the program? *
Thank you for your interest in the Studio Beacons program.
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