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Application for Services

To apply for services with Successful Transitions, please complete the form below.




















RELEASE OF INFORMATION:
By signing this application, I hereby state that all information I have given is true. I also give permission for SUCCESSFUL TRANSITIONS to actively access information to better serve my child. All information kept in his/her file, is the property of the student and the school he/she attends. The SUCCESSFUL TRANSITIONS team understands the importance of privacy*, and all personal, financial, disclosure-related, and IEP/504 information will not be shared with any third parties except for South Carolina Commission for the Blind.

I further grant permission for my child to meet with SUCCESSFUL TRANSITIONS during school hours when appropriate.

I understand that, I/my child must meet the criteria to receive SUCCESSFUL TRANSITIONS services and will not receive or be eligible for a certificate of completion unless the post-test provided is passed with a grade of 70 points or higher.




*CareerBoost and Successful Transitions view all materials pertaining to a student's disability as confidential. This policy is based upon government mandates regarding the confidential treatment of disability-related information. Personal and Disability information may be released only when a student has signed a Release of Information form. A student may request to review the contents of his/her own file when the CareerBOOST Director or assigned Transitions Consultant is present.
PERMISSION AND TRANSPORTATION AGREEMENT





Helping visually impaired students prepare for their careers


Successful Transitions    104 Corporate Blvd.    Suite 413    West Columbia, SC    29169    -    803-960-9977    -    jennifer@successforlives.org




Successful Transitions is a program under the NFB of SC

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