BISM STAR Summer Program Interest Form

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Have you ever been told certain career paths are off limits for you due to your blindness? Have you ever rejected certain occupations because you believed you wouldn't be able to do it? The STAR Program is here to show you that there are several professions blind people can do successfully and independently even though we are told it is "unreachable."

Blind Industries and Services of Maryland (BISM) is excited to introduce the STAR (Students Training in Advocacy and Responsibility) Program! This 4-week, fully residential program exposes participants to a new industry each week, exploring the career options within the industry, attending job site tours, and completing real-life tasks and activities in that profession. The industries covered during the 2023 STAR Program are Education, Engineering, Hospitality, and Business. Some activities and areas of focus include 3D printing, hotel management, glass blowing, and business creation. We will also be traveling throughout the City of Baltimore, Washington DC, and Houston, Texas.

Program Dates: June 18 to July 15 (including weekends)

Ages eligible: 14 to 21

Name (first and last) *

Age *

Phone Number *

Email Address *

What county in Maryland do you reside in? *

Are you able to attend the STAR Summer program for the entire 4 weeks (June 18 to July 15)? *

Yes

What is your preferred mobility tool? *

Cane

Guide Dog

N/A

Other:

Do you have a counselor from the Division of Rehabilitation Services (DORS)? If no, are you willing to work with BISM to get into the DORS system? *

I do not have a DORS counselor and do not want to work with BISM to get into the DORS system. .

I do not have a DORS counselor but am willing to work with BISM to get into the DORS system.

Yes, I have a DORS counselor

Do you have any medications that you would require while attending this program?

Yes, and I am able to self-medicate

Yes, but I am unable to self-medicate

No, I do not have any medications that I will require during this program

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Are there any other health conditions aside from your blindness that we should be aware of? *

Submit

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