Brattleboro-Summer Career Exploration Please note that program dates will run from June 19th to June 30th (Week of July 4th Off), and July 10th to July 28th. Summer Career Exploration Program-Brattleboro Please enter the following information for student applicant:Name:* First Last Chosen Name: Please Select Your Personal Pronouns:he/himshe/herthey/themotherSelect Preferred PronounsMailing Address (Where Student Receives Mail):* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone:*Personal (Home) Email:* Enter Email Confirm Email School Email:* Enter Email Confirm Email Please tell us the best way to contact you:* Cell Phone Email (Home) Email (School) Please select the Transition Counselor you work with:*Brandy ReynoldsBonnie CrampotherSchool Name:* How many weeks are you looking to work?* 3 weeks 4 weeks 5 weeks Please select the accommodation(s) you may need.* Interpreter Closed Captioning Other None at this time. If you selected "other" for accommodations, please describe what accommodations you will need below. Please select three (3) areas of work interest:* Animal Care Assistant Customer Service Representative Research Assistant IT Assistant Camp Counselor Aid Custodial Data Entry Processor Landscaping Library Assistant Parks and Recreation Teacher Assistant Office Clerk – General Graphic Design Marketing Retail Sales Person Restaurant – Cashier Restaurant – Host/Hostess Restaurant – Food Prep Hospitality Office Clerical – Legal Office Clerical – Health Cashier HR Assistant What are your current transportation options/resources?*Please enter the following information for parent/guardian information:Name* First Last Phone*Email* Enter Email Confirm Email