Pre-Employment Transition Services Student Authorization Form Logo

  • Student Authorization Form

  • This form permits your student to participate in the Pre-Employment Transition Services (Pre-ETS) program at Kiamichi Tech. This program is designed to help students transition smoothly from high school to college or work after graduation. It includes activities that focus on exploring different jobs, gaining work experience, preparing for further education, developing workplace skills, and learning self-advocacy. Specialists from Kiamichi Tech visit schools to provide educational activities based on student needs and interests.

    No-Cost Services: In partnership with the Oklahoma Department of Rehabilitation Services, Pre-ETS offers free services to students with disabilities aged 14-21.

    Please complete the form below if your child could benefit from this program.

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  • Pre-Employment Transition Services Potential Eligibility

    Below are some examples of documented conditions that could determine eligibility:

    • An Individualized Educational Plan (IEP) or a 504
    • A disorder of the eyes, ears, nose, or throat
    • Frequent dizziness, fainting or headaches, seizures, convulsions, paralysis or stroke
    • A mental or nervous disorder (anxiety, depression, etc.)
    • Persistent coughing, bronchitis, asthma, emphysema, tuberculosis, or other disorders of the lungs
    • Chest pain, high blood pressure, heart murmur, or other disorder of the heart
    • Intestinal bleeding, ulcer, hernia, colitis, or other disorder of the stomach, intestines, liver, or gallbladder
    • Disorder of the kidney, bladder, prostate, or reproductive system
    • Diabetes, thyroid, or other endocrine disorders
    • Arthritis or other disorder of the muscles or bones, including the back, spine, or joints
    • Loss of use of arms, legs, or other body part
    • A tumor, cancer, or disorder of skin or lymph glands
    • Allergies (that affect your daily life or work)
    • Anemia or other disorders of the blood
    • Excessive use of alcohol or other habit-forming drugs
    • Any other physical or mental condition

  •  Approval to Participate 

    By completing this form and including my digital signature below, I allow the student named above to take part in the Pre-ETS program activities. 

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