REGISTRATION FORM:

Students Name: ______________________ Age: ________ Male: _____ Female: ______ Parents name (s): _____________________ Address: ___________________________ Phone Number: _______________________ Emergency Contact: ___________________ Relationship to Student: ________________ Phone Number: _______________________ Any special considerations needed by student: __________________________________ __________________________________ __________________________________
PLEASE SEND THIS FORM AND A $50.00 CHECK To DAWN CENTER FOR INDEPENDENT LIVING 30 BROAD STREET SUITE 5 DENVILLE, NJ 07834 973 625-1940 ext. 214 ANY QUESTIONS: CONTACT HELEN BRADFIELD hbradfield@dawncil.org

WELCOME TO S.A.I.L.

SELF-ADVOCACY INSTITUTE FOR LEADERSHIP

This Transition and Self-Advocacy Program is sponsored by a Grant from the United Way of Morris County

NAVIGATE YOUR FUTURE NOW

MEANINGFUL OUTCOMES

SAIL provides an opportunity for students with any disability [ages 13-21] to pursue additional education and personal development concurrent with middle school or high school studies. Through interactive learning about: Self-Advocacy Disability Awareness Setting & Achieving Goals Brief History of the Disability Rights & Laws Personal Interests, Strengths, and Skills Social & Independent Living Skills Discovering & Engaging Support Systems Social & Recreational Opportunities Problem Solving Communication Skills Resources In Community

Students will be provided with the tools to become empowered to enable them to live more independent lives. Start Date: 10/18 SAILs existence is a collaborative effort with the main intent being that of facilitating an optimal transition to adult life. Students involved with SAIL will receive: Many hours of interactive instruction (to be held once a week for 9 weeks) Instruction from DAWNs Independent Living Transition Specialist, Helen Bradfield, a certified Teacher of the Handicapped, and part time assistants Training that will enable students to set a personal goal and take appropriate steps to achieve it An invitation to participate in a 4 hour social learning event in the community Participate in a celebratory ceremony to acknowledge the completion of the SAIL program ***50.00 registration fee (scholarships available