Independence, Inc. Lawrence Independent Living Resource Center Serving People with Disabilities Since 1978
Home | Search | Services | Resources | Advocacy | Consumers | Employment Newsletter | Computers | Famous | About Us | Contribute | Contact Info
Application for the Vocational Certification Program
Name:
Address:
Phone Number:
Email:
Would you like to sign up for the Independence, Inc. monthly newsletter?
Yes No I already receive it
Are you on SSI? SSDI?
Yes No
Are you receiving Medicaid?
Are you on VR?
Have you received your Ticket to Work yet?
Program Applied For (you may only enroll in one)
Information Technology Careers I
(Meets Saturdays, 12:00 - 4:00, January 20 - May 12)
(Meets Tuesdays through Fridays, 8:30 - 10:20, January 16 - May 18)
Please make sure that you have included your email address and that it is correct.
Is our page 100% accessible to you? Let us know how we can improve this site! Click here to send us email