PCTI Summer 2024 Registration

PCTI Summer 2024 First Name(Required) Last Name(Required) Email(Required) Address StateMAALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYAS   American Samoa)DC  District of Columbia)FM  Federated States of MicronesiaGU  GuamMH Marshall IslandsMP Northern Mariana IslandsPW PalauPR   Puerto RicoVI   Virgin IslandsCity(Required)AbingtonActonAcushnetAdamsAgawamAlfordAllstonAmesburyAmherstAndoverAquinnahArlingtonAshburnhamAshbyAshfieldAshlandAtholAttleboroAuburnAvonAyerBack BayBaldwinvilleBarnstableBarreBeacon HillBecketBedfordBelchertownBellinghamBelmontBerkleyBerlinBernardstonBeverlyBillericaBlackstoneBlandfordBoltonBondsvilleBostonBourneBoxboroughBoxfordBoylstonBradfordBraintreeBrant RockBrewsterBridgewaterBrightonBrimfieldBrocktonBrookfieldBrooklineBucklandBurlingtonBuzzards BayCambridgeCantonCarlisleCarverCentervilleCharlemontCharlestownCharltonChathamChelmsfordChelseaCheshireChesterChesterfieldChicopeeChilmarkChinatownClarksburgClintonCohassetColrainConcordConwayCotuitCummaquidCummingtonDaltonDanversDartmouthDedhamDeerfieldDennisDennisportDevensDightonDorchesterDouglasDoverDracutDudleyDunstableDuxburyEast BostonEast BridgewaterEast BrookfieldEast LongmeadowEasthamEasthamptonEastonEdgartownEgremontErvingEssexEverettFairhavenFall RiverFalmouthFenwayFitchburgFloridaForestdaleFoxboroughFraminghamFranklinFreetownGardnerGeorgetownGilbertvilleGillGloucesterGoshenGosnoldGraftonGranbyGranvilleGreat BarringtonGreen HarborGreenfieldGrotonGrovelandHadleyHalifaxHamiltonHampdenHancockHanoverHanscom Airforce BaseHansonHardwickHarvardHarwichHatfieldHaverhillHawleyHeathHinghamHinsdaleHolbrookHoldenHollandHollistonHolyokeHopedaleHopkintonHubbardstonHudsonHullHuntingtonHyannisHyannisportHyde ParkIpswichJamaicaRead more

FCSN/C2C Respite Network Match Survey (6 Weeks)

C2C Respite Network Match Survey (6 weeks) Select your age group(Required)Under 1818-2425-3435-4445-5455-6465 or abovePrefer not to answerYour primary language(Required)American Sign LanguageChineseEnglishHaitian CreolePortugueseSpanishVietnameseKoreanOtherWhat is your race?(Required)African-American/BlackAmerican Indian/Native American/Alaskan Native (*Specify)AsianNative Hawaiian/Pacific Islander (*Specify)Caucasian/WhiteTwo or more racesUndisclosedWhat is your ethnicity?(Required)Hispanic or LatinoNot Hispanic or LatinoUndisclosedIs your child medically complex?(Required)YesNoDoRead more

FCSN/C2C Respite Network Match Survey (2 Weeks)

C2C Respite Network Match Survey (2 weeks) Select your age group(Required)Under 1818-2425-3435-4445-5455-6465 or abovePrefer not to answerYour primary language(Required)American Sign LanguageChineseEnglishHaitian CreolePortugueseSpanishVietnameseKoreanOtherWhat is your race?(Required)African-American/BlackAmerican Indian/Native American/Alaskan Native (*Specify)AsianNative Hawaiian/Pacific Islander (*Specify)Caucasian/WhiteTwo or more racesUndisclosedWhat is your ethnicity?(Required)Hispanic or LatinoNot Hispanic or LatinoUndisclosedIs your child medically complex?(Required)YesNoDoRead more

NextGen x Connecting YOU(th) Event Registration

Parent/Caregiver Name(Required) First Last Youth/Young Adult Name(Required) First Last Parent/Caregiver Email(Required) Youth/Young Adult Email(Required) Primary Language(Required)EnglishAmerican Sign LanguageChineseHaitian CreolePortugueseSpanishVietnameseOther LanguageYouth/Young Adult Disability(Required)AutismDeafDeaf-BlindnessDevelopmental delayEmotional DisturbanceHearing ImpairmentIntellectual DisabilityMultiple DisabilitiesOrthopedic ImpairmentOther Health Impairment (ADD/ADHD)Specific Learning Disability (Dyslexia)Speech or Language ImpairmentTraumatic Brain InjuryVisual Impairment-BlindnessInappropriately IdentifiedUndisclosedUnknownN/AYouth/Young Adult Age(Required)13 or younger14-1819-2425-30+City(Required)AbingtonActonAcushnetAdamsAgawamAlfordAllstonAmesburyAmherstAndoverAquinnahArlingtonAshburnhamAshbyAshfieldAshlandAtholAttleboroAuburnAvonAyerBack BayBaldwinvilleBarnstableBarreBeacon HillBecketBedfordBelchertownBellinghamBelmontBerkleyBerlinBernardstonBeverlyBillericaBlackstoneBlandfordBoltonBondsvilleBostonBourneBoxboroughBoxfordBoylstonBradfordBraintreeBrantRead more

Accommodation or Modification?

Review each sample carefully and determine whether it constitutes an accommodation or a modification.  Discuss within your group to ensure consensus on categorizing each sample.  Accommodation or Modification HandoutRead more