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GEORGIA VOCATIONAL
REHABILITATION AGENCY
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Pre-Screening
Pre-Screening
Do you have a permanent disability?
*
Do you have a permanent disability?
No
Do you have a permanent disability?
Yes
Does your disability prevent you from working or cause you problems while working?
Does your disability prevent you from working or cause you problems while working?
No
Does your disability prevent you from working or cause you problems while working?
Yes
Would you like the possibility of working at some point?
*
Would you like the possibility of working at some point?
No
Would you like the possibility of working at some point?
Yes
Are you currently a High School student?
*
Are you currently a High School student?
No
Are you currently a High School student?
Yes
Please select your current High School grade level:
9th grade
10th grade
11th grade
12th grade
Are you currently receiving any Educational Services Under an IEP or a 504 Plan?
Are you currently receiving any Educational Services Under an IEP or a 504 Plan?
No
Are you currently receiving any Educational Services Under an IEP or a 504 Plan?
Yes
question1 Value
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question 2 value
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question 3 value
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question 4 value
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question 5 value
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Pre Screening Outcome
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