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Community Inclusion Center

You must read the following before you complete your registration

If you are on a tablet or cell phone please click the next arrow at the bottom right hand corner of the page to continue on to the next question.
 
1. Why are you interested in the Community Inclusion Center? *This question is required.
2. Please enter the information of the appropriate contact person:
5. Do you have transportation to get to our center on a regular basis?
Please answer these questions in regards to the individual with special needs that is signing up for the program
6. Does the individual participating in the program have any behavioral issues?
6. How old is the individual that is participating in the program?
6. Are you interested in trying out our program?
6. Please rank the three sessions that the participant is most interested in. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
6. Is the individual participating able to commit to attending the whole session every week? You will be able to pick one session from the previous question.
6. How often is the individual signing up able to commit to attending the program?
6. How soon can you sign up for the program? Can you start on Saturday, June 2nd?
This question requires a valid date format of MM/DD/YYYY.
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6. Do you have a Support Coordinator?
6. What is your Support Coordinators Contact Information?
6. Do you have enough money in your DDD budget for the program? This program uses up 20 Units of Group Prevocational Training per week. 
6. Does the individual signing up for the program have a Developmental Disability?
6. Are you comfortable with paying 75 dollars every week to participate in the program until the individual turns 21? After that this program will be covered by your DDD budget and not cost anything out of pocket
6. Are you comfortable with paying 75 dollars every week to participate in this program?
6. Are you comfortable with paying 75 dollars every week to participate in the program until the individual gets a support coordinator? This process can take up to 6 months
Questions for Volunteers and Prospective Employees
6. Are you 18 or over?
 
6. Please specify your skill sets:
6. How many years of experience do you have working with people with disabilities
Employment Section
6. Please upload your resume
Please wait until the file uploads before answering the next question or submitting your responses
6. Are you able to work at the center every Saturday?
6. What is your availability to work at the center on Saturdays?
 
6. Are you interested in being on our Substitute List when staff call out?
6. Are you interested in working with the Disability Allies as a Direct Support Professional?
This would involve working with an individual with special needs on a one on one basis. You would be paid to pick them up from their house and take them into the Community or serve as their job coach.
 
7. Are you comfortable with driving an individual with special needs in your own personal vehicle? This is part of the job of being a Direct Support Proffesional.
Questions For Volunteers
7. How often are you able to volunteer? 
Additional Feedback