English VR-Pre-ETS Application with Orientation Video Form WSF Logo
  • Pre-ETS Referral Form

  • Pre-ETS Referral Form

    *Required Fields

  • Student Information

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  • Accommodations for initial meeting with VR Staff:

  • *Transition Youth Services Requested (Check all that apply)

  • Student Acknowledgement

  • I understand that through Vocational Rehabilitation, I will be offered limited Pre-Employment Transition Services that can help me explore, prepare for, and make informed career-based decisions. I understand that I must be an active participant in the services I choose to achieve my transition goals.

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  • Permission to Make Referral

  •    By Signing this Pre-ETS Referral, I give            permission to submit this Pre-ETS Referral to VR. I understand I will be contacted by VR Staff to set up an initial meeting and acknowledge that my participation is required if my child is under 18 or if I am his/her Guardian.

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  • To watch the orientation video visit www.rehabworks.org

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  • Vocational Rehabilitation (VR) Orientation Video

    Attestation Form

    Please sign this form after you have viewed the VR Orientation Video and provide the signed document to your local VR representative to be kept in the physical VR case record.

  • Attestation 

  • I,    *            hereby acknowledge that I have viewed and completed the Vocational Rehabilitation Orientation Video and understand the contents. I further acknowledge that I would like to move forward with the Vocational Rehabilitation Process.

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  • The Florida Vocational Rehabilitation program receives 78.7 percent of its funding through a grant from the U.S. Department of Education. For the 2020 Federal fiscal year, the total amount of grant funds awarded were $153,000,001. The remaining 21.3 percent of the costs ($41,409,148) were funded by Florida State Appropriations.

     

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