2023 VOC Youth Forum at The Schrafft Center I am registering for the following 2023 Youth Forum session:Please Select:Making the Most of Transition SupportCollege and BeyondVisions of Community Youth Event 2023 Saturday, March 11th - 1 to 4 pm Last Name(Required) First Name(Required) Email(Required) Home Address/Street and Number(Required) City/Town(Required) State(Required) Zip Code My role: (check all that apply)(Required) Parent/Parent Role Professional/Educator (e.g., teachers, aide, support services public, charter and 766 schools) Professional/Non-Educator (all service providers who work in an organization other than a school) Student (14-22) SESP Other If you are registering as a parent/caregiver, please fill in the fields with your child's information below.(Required)Please SelectYesNoChild's/Young adult's Last Name(Required) Child's/Young adult's First Name(Required) How old is your child/young adult?(Required)Please enter a number from 13 to 22.Is parent/caregiver address the same as the youth’s address? Yes No How did you hear about our Youth Forum?(Required) NextGen MassPAC Member Other Please enter the name of youth participant’s educational program(Required) Please tell us about the youth participant and how we can best support her/him/them during the activities.(Required)Primary Language(Required) Please list any other language(s) you are fluent in communicating. (optional) To which gender do you identify as? (optional)Please SelectWomanManNonbianaryI prefer not to answerOtherWhat is your ethnicity? (optional grant reporting question)Please SelectHispanic or LatinoNot Hispanic or LatinoUndisclosedIf applicable, what is the ethnicity of your child/youth with special needs? (optional grant reporting question)Please SelectHispanic or LatinoNot Hispanic or LatinoUndisclosedWhat is your race? (optional grant reporting question)Please SelectAfrican American/BlackAmerican Indian/Native American/Alaskan nativeAsianCaucasian/WhiteNative Hawaiian/Pacific IslanderTwo or more racesUndisclosedIf applicable, what is the race of your child with special needs? (optional grant reporting question)Please SelectAfrican American/BlackAmerican Indian/Native American/Alaskan nativeAsianCaucasian/WhiteNative Hawaiian/Pacific IslanderTwo or more racesUndisclosedWhat is the highest level of education that you have completed? (optional)Please SelectLess than high schoolSome high schoolHigh school diplomaSome collegeCollege undergraduate degree (Associates, Bachelors)College graduate degree (Masters, Doctorate)Prefer not to answerIf applicable, what is your child's disability? (optional grant question, please check all that apply) Autism Deaf-Blindness Deafness Hearing Impairment Developmental Delay (Early Childhood) Emotional Disturbance Intellectual Disability Multiple Disabilities Orthopedic Impairment (Physical) Other Health Impairment Specific Learning Disability Speech or Language Impairment Traumatic Brain Injury Visual Impairment - Blindness Inappropriately identified due to lack of good instruction, environmental or economic factors, or limited English proficiency Disability is suspected or not yet identified Undisclosed Not Applicable/Attending as a Professional If applicable, how old is your child with disabilities? (optional grant question)Please SelectBirth to 33-56-1112-1314- GraduationBeyond High School Graduation or Aged OutUndisclosedWill you or your student need any accommodations to participate in our Youth Forum? If you would like a youth event t shirt, please check your size: Medium Large Extra Large No T-shirt Would you like to be included on our Transition listserv? Yes No Would you like to receive our quarterly newsletter, Newsline? Yes No Is there anything else you’d like us to know about you or your child/young adult?We will have muffins and coffee available in the morning. For lunch we will be serving pizza and beverages. Do you have a food allergy?(Required) Yes No I have food allergy/allergies to Dairy (milk, eggs) Peanuts Tree Nuts (almonds, walnuts, pecans) Wheat Soy Other