Monday, September 6, 2010 - 1:45am Search:  
 


Our Vision

To promote self-directed and self-determined choices in programs, services and supports for individuals with developmental disabilities.



Our Address

73 East Wilson Bridge Rd
Suite B1
Worthington, Ohio 43085

614-431-0616

Bridges to Transition - Partner Implementation Plan

Partner Contacts

Partner Name : 
Physical Address : 
City : 
Zip : 
Main Phone Number : 

 

Billing/Mailing Address (if different from above)

Address : 
City : 
Zip : 
County : 
 
Superintendent Name : 
Superintendent Phone : 
Superintendent Email : 
 
Fiscal Officer Name : 
Fiscal Officer Phone : 
Fiscal Officer Email : 
 
Project Supervisor Name : 
Project Supervisor Phone : 
Project Supervisor Email : 
 
Project Counselor Name : 
Project Counselor Phone : 
Project Counselor Email : 
 
Project Counselor Name : 
Project Counselor Phone : 
Project Counselor Email : 
 
Project Counselor Name : 
Project Counselor Phone : 
Project Counselor Email : 
 
Clerical Support Name : 
Clerical Support Phone : 
Clerical Support Email : 
 

Partner School District Contacts

School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 
School Name : 
Primary Contact : 
 

Ohio Department of Education Contacts

State Support Team Member Name : 
Title : 
Phone : 
Email : 
 

Additional Questions

How many high schools and/or vocational/technical schools are there in your county?
How many of the above mentioned schools have you contacted?
How many schools have signed the Memo of Understanding?
Have you created brochures and/or other marketing materials?
Have you presented the project at a Rotary or Chamber meeting?
If you plan to utilize the 25%, (outside age range, no IEP, or not Board eligible) what are your plans?
How many consumers fall into the 25%? (outside age range, no IEP, or not board eligible) : : 
Do you have any Training/Technical Assistance needs?
Please use the space below for any additional contacts/comments : 
 
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