What's your diagnosis?
Please describe your non-academic interests.
Describe your academic experience and performance at Santa Fe College (SF) thus far.
What are your academic strengths and/or best subjects?
Please describe any challenges you've had in high school or college.
List the subjects you have difficulties with and describe the difficulties you have.
Is there anything unique about you that you would like the staff to know?
Are you currently registered with UF Center for Autism and Related Disabilities (UF CARD)?
Are you registered with Vocational Rehabilitation?
If not, are you interested in learning more about Vocational Rehabilitation, UF CARD or Center for Independent Living of North Central Florida (CILNCF)?
Are you currently registered with Center for Independent Living of North Central Florida (CILNCF)?
Please describe your social goals and how ASD impacts you socially.
Describe how ASD affects you in your everyday life and in your daily activities.
Are you interested in employment?
What type of short-term and long-term employment are you interested in pursuing?
About how many hours each week can you commit to work while taking classes?
What types of accommodations do you anticipate you will need to be successful in a work setting?
Do you have any employment history?
Please provide information about your employment history (where, when and what you did).
The objective of the SOS work-based learning is self-sufficiency and independence for SF students diagnosed with ASD.
Are you interested in participating in this program?
What do you hope to get out of the program?
Are you interested in being connected with potential employers after completing the work-based learning?
If NO, please share your reasons for not wanting to participate.
First Emergency Contact
Second Emergency Contact