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Workers with Disabilities: Contributing to Maine's Workforce

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Home >Youth in Transition > Youth Webinar Survey

Youth Webinar Survey

Those that complete the survey will receive a certificate of completion.

* indicates a required field

Name of the Online Training* Overview of Services Part I: Self-Advocacy/Disclosure Part II: Self-Advocacy/Disclosure Financial Literacy Work Readiness Perspectives on "Life after High School"

What do you like best about the online training? What one thing would you change for future trainings? What is one action you will take as a result of this training?

Please tell us about yourself and if you would like to receive further information. Name (first name, middle initial, last name)*

I am a Student Parent Teacher or staff person

What topic(s) would you like more information on? Going to college, how to save money and/or finding a job Personal care assistance, home modifications, equipment, independent living Learning about the world of work, job training or vocational rehabilitation

Are there other topic(s) you would like more information on? Email Address*

Gender Female Male

Year of birth

Mailing Address Street City State Zip code

Phone Number What is the name of your school? What grade are you in? What year do you expect to graduate high school?

Do you currently have an Individual Education Program (IEP)? Yes No

Are you currently under a 504 plan? Yes No

Other comments?

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