Your Name (required)

Your Email (required)

Phone Number

Age of Child

Disability

School District

Assigned VR Counselor

Please select Round 1 or Round 2 below. (required)
Round 1 – April 20, 22, 27 & 29 (7:00p-8:30p)Round 2 – May 21 & 22 (10:00a-2:00p)

Accommodations needed for the workshop.

Please select one role that best describes you.
Parent/Guardian/Foster parent of young adult with a disabilitySibling of a young adult with a disabilityGrandparent of a young adult with a disabilityProfessional who works with young adults with disabilitiesYoung adult with disabilityOther

Tell us about your expectations for individuals with disabilities to work in the community with non-disabled peers for minimum wage or higher.

Expectations for individuals who do not need workplace support.
Very High: They can get a jobAverage: They are somewhat likely to get a jobVery Low: They cannot get jobs

Expectations for individuals who need workplace support an average of 1 to 2 times a month.
Very High: They can get a jobAverage: They are somewhat likely to get a jobVery Low: They cannot get jobs

Expectations for individuals who need workplace support an average of 1 to 2 times a week.
Very High: They can get a jobAverage: They are somewhat likely to get a jobVery Low: They cannot get jobs

Expectations for individuals who need workplace support daily.
Very High: They can get a jobAverage: They are somewhat likely to get a jobVery Low: They cannot get jobs

Please indicate how much you agree or disagree with each of the following statements.

There are employment opportunities in my community for individuals with disabilities.
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree

Individuals with disabilities can work, given the right support.
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree

I know enough about employment resources to take steps toward employment for individuals with disabilities.
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree