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info@adecinc.com | Serving Elkhart and St. Joseph Counties
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NEWS
DONATE
PROGRAMS
DAY SERVICES
EMPLOYMENT SERVICES
GUARDIANSHIP
RESIDENTIAL
SKILLS TRAINING AT THE HUB
SUMMER CAMP
THERAPIES
TRANSPORTATION
AFTER SCHOOL
EMPLOYMENT
APPLY NOW
JOB INFO
ADEC Industries
ADEC Pays It Forward
COMMUNITY
ART BY ADEC
CONFERENCE & EVENT CENTER
GAINING GROUNDS COFFEE SHOP
HIRE AN ADEC CLIENT
Project SEARCH
SELF-ADVOCATES OF ADEC
SILVER BULLETS BASKETBALL
SILVER LININGS TRASH BAGS
GET INVOLVED
CONTACT US
NEWSLETTER
VOLUNTEER
RESOURCES
ADEC GEAR STORE
ADEC YOUTUBE
ANNUAL REPORT
HISTORY
LEADERSHIP TEAM
REPORT ABUSE OR NEGLECT
RESOURCES FOR PARENTS AND GUARDIANS
STRATEGIC PLAN
990 PUBLIC DISCLOSURE
GROUP HEALTH PLAN- machine readable files
HIPAA Notice of Privacy Practices
Search for:
NEWS
DONATE
PROGRAMS
DAY SERVICES
EMPLOYMENT SERVICES
GUARDIANSHIP
RESIDENTIAL
SKILLS TRAINING AT THE HUB
SUMMER CAMP
THERAPIES
TRANSPORTATION
AFTER SCHOOL
EMPLOYMENT
APPLY NOW
JOB INFO
ADEC Industries
ADEC Pays It Forward
COMMUNITY
ART BY ADEC
CONFERENCE & EVENT CENTER
GAINING GROUNDS COFFEE SHOP
HIRE AN ADEC CLIENT
Project SEARCH
SELF-ADVOCATES OF ADEC
SILVER BULLETS BASKETBALL
SILVER LININGS TRASH BAGS
GET INVOLVED
CONTACT US
NEWSLETTER
VOLUNTEER
RESOURCES
ADEC GEAR STORE
ADEC YOUTUBE
ANNUAL REPORT
HISTORY
LEADERSHIP TEAM
REPORT ABUSE OR NEGLECT
RESOURCES FOR PARENTS AND GUARDIANS
STRATEGIC PLAN
990 PUBLIC DISCLOSURE
GROUP HEALTH PLAN- machine readable files
HIPAA Notice of Privacy Practices
Skills Training Application
christmasz
2023-02-10T13:35:42-05:00
Skills Training Application
Name
*
Phone number
*
Email address
*
Date of birth of individual served
*
Case manager/company name
*
Case manager email address
*
Last four digits of Social Security number of individual served
*
Permanent address of individual served
*
How many days would participant like to attend? Preferred schedule?
*
Limitations with fine/gross motor skills?
*
Yes
No
Difficulty completing tasks of daily living?
*
Yes
No
Difficulty in sustaining attention to tasks?
*
Yes
No
Difficulty applying skills learned?
*
Yes
No
Limited in expressive/receptive language skills?
*
Yes
No
Difficulty engaging with others?
*
Yes
No
Emotional/behavioral disturbances that create barriers to completing tasks?
*
Yes
No
Additional information
Δ
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