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ABOUT US
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INDIVIDUAL/PARENT/GUARDIAN

Individual's Name

Age

Are you attending high school?

Work interest (office, graphic design, distribution, manufacturing, IT, hospitality, etc.)

Caregiver Name

Address

City

State

Phone Number

Email

Do you have a program that assists individuals with disabilities?

Additional information

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CONNECT WITH US

Give one person an opportunity for meaningful employment by sponsoring an internship.
A gift of $12,000 funds a one-year internship and a gift of $1,000 funds one month of job training.

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