Equal Opportunities in IT

Apply today!

Please fill out the form below and submit to apply for the Student Transition to Employment Program (STEP).

Basic Student Information

Name

First Name

Last Name

Preferred Pronouns

Birth Date

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Method of Contact

Phone Number

(###)

###

####

Email Address

School Information

Name of School/College

School Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Phone Number

(###)

###

####

Advisor's Name

First Name

Last Name

Expected Graduation Date

YYYY

Do you have access to transportation?

What are your plans after graduation?

Accomodations

Describe any accommodations you may require.

Rehabilitation Counselor's Name

*Only necessary if you are currently a client of the Division of Vocational Rehabilitation (DVR)

DVR Counselor's Phone Number

*Only necessary if you are currently a client of the Division of Vocational Rehabilitation (DVR)

School and Community Involvement

Below, please briefly list your involvement with your school and community. This may include any offices you held, club memberships, after school activities, volunteer experiences. List the length of involvement, the grade level you were in at the time of participation, and the name of an adult you worked with.

School Activities

For each activity, please include: Name of Activity, Adult Contact, Dates, Grade Level

Community Activities

For each activity, please include: Name of Activity, Adult Contact, Dates, Grade Level

Work Experience

Please list any work experience you have had in the past two years. This can include paid and unpaid work, volunteer activities, etc. For each job, please include: Name of Organization, Adult Contact, Dates, Grade Level