VAMOS Letter of Interest
Complete this form in order to indicate your interest in being selected as a VAMOS participant at Mandy's Farm. Completion of this form does not guarantee registration, as this is determined based on meeting eligibility requirements. Following your form submission, you will be contacted for further information.

We are currently accepting interest forms for Fall 2020.

Due to the COVID 19 pandemic, VAMOS Employment Preparation Program is offering virtual classes via Zoom. Classes begin October 19th and run until December 18th. Classes occur Monday-Thursday at 3pm or 4pm.

We are offering 4 different topics:
-Disclosure/Self Advocacy,
-Sex Education,
-Communication in the Workplace/Soft Skills, and
-Literacy Tutoring.

For each topic, there are two class options per week but participants will only select/attend one of the two options. For example, if a participant signs up for Disclosure/Self Advocacy, they will attend that class once a week, so they will register for Monday OR Wednesday. Each participant will be able to register for two (2) class topics.

Once we confirm eligibility, you will receive a form to register for specific class topics and days/times.

Thank you for being a part of VAMOS!
Please provide the first and last name of the individual completing this form: *
Please provide the first and last name of the individual who would like to be considered for participation in the VAMOS Program (the applicant): *
Does the VAMOS applicant have a documented intellectual or developmental disability? *
What is the language preferred by the family and/or VAMOS applicant? *
What is the date of birth of the VAMOS applicant? (Applicant must be between the ages of 15-22 at time of participation) *
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Does the VAMOS applicant currently receive staffing/ funding supports through the DD or Mi Via Waivers? *
VAMOS funding requires all participants to be attending school. To verify this, we are required to collect applicant's State-Issued Student ID Number (STARS ID). This is different than your School ID number. It can be found at the top of the IEP. Please enter the applicant's 9-digit STARS ID number below. *
What school does the applicant attend? *
Please provide a phone number for us to update the applicant/ their support network regarding their VAMOS status: *
Please provide an email address for us to update the applicant/ their support network regarding their VAMOS status: (please ensure this email is correct. If an incorrect email is provided, we will not be able to register the participant) *
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This form was created inside of Mandy's Farm.