Sign up to learn more about The Arc@School's Self-Determination Project

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* 1. First name:

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* 2. Last name:

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* 3. Email address:

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* 4. Phone number:

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* 5. How did you hear about this project:

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* 6. Select the role that best describes you:

Person with Down syndrome

Parent of a person with Down syndrome

Professional who works with people with Down syndrome

Family member of someone with Down syndrome

Other (please specify)

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* 7. Does the person you want to participate in the self-determination project have Down syndrome and reside in the state of New Mexico?

Yes

No

Other (please specify)

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* 8. Please enter the age of the person with Down syndrome you would like to participate in this project: