Our Philosophy | Typical Schedule | Items to Bring | Cost | Enrollment Application

 

STEP Program - Application

Training will begin June 3, 2012 and conclude August 4, 2012. A break is scheduled for July 6-13. If you are interested, please submit the application by April 6th or call Eric Guillory at 800-234-4166.

 

Due to limited space, we cannot guarantee that every applicant will be granted enrollment. Applicants must have an open case with their state’s vocational rehabilitation agency or other entity for funding to cover associated costs. Please note that the fee is $6,500- which is all-inclusive save for transportation costs to and from the program.

Child's Name:

Parent's Name:

Mailing Address:

City:

State:

Zip Code:

Email Address:

Telephone Number:

Child's Age:

School:

Current Grade Level: (for 2011-2012 school year):

V.I. Teacher:

Does your child use large print or magnification devices?:

   yes

   no

Does your child use a cane?:

   yes

   no

Does your child know braille?:

   yes

   no

Contracted or Uncontracted:

   contracted

   uncontracted

Cause of blindness:

Visual acuity:

Does your child have any other disabilities or medical conditions?:

Hobbies: