Career Pathways Application

Thank you for your interest in The Chicago Lighthouse’s Career Pathways Program. This program is designed for high school graduates with disabilities aged 16 to 24 who are looking to kickstart their careers in the education field. The program will include a self-directed online course – designed to take six months to complete – that will prepare students to complete the ETS ParaPro Assessment, a certification required to become a paraprofessional teacher’s aide.

The Career Pathways Program will run two cohorts. One in January 2025 and the second in August 2025. We’ll be running two year-long cohorts, with the first starting in January and the second in August of 2025. The application for Cohort one is due by December 6th.

Applications are now being accepted for our January 2025 cohort. After completing the Career Pathways Application below, please take The Youth Transition pre-assessment with as much detail as possible. This assessment will help our team get to know you better as we consider your application.

The application deadline for the January 2025 cohort is December 6, 2024. Please fill out the application to the best of your abilities below.

For more information, please contact Fay Zeigler at fay.zeigler@chicagolighthouse.org | (312) 666-1331 ext. 3203

  • Programs of Interest



  • Contact Information











































  • Emergency Contacts













  • Educational Information



  • Nature of Disability

    Although we understand that it is your right not to disclose disabilities, this program is focused on supporting individuals with disabilities.
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  • Employment Information






























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  • RELEASE FORMS

  • Authorization for Treatment of Participant – Consent, Release and Covenant

    The undersigned parent/guardian represents to The Chicago Lighthouse that the minor named below is in his and/or her legal custody and control; that the undersigned desires said minor to participate in the programs of The Chicago Lighthouse; and that for purposes of said participation the undersigned agrees, authorizes and states as follows:

  • I (we) authorize The Chicago Lighthouse and its officers or staff employees as agent(s) for the undersigned
    to obtain and consent to any X-ray examination, anesthetic, medical, dental, surgical diagnosis, treatment and hospital
    care which is deemed advisable, and is to be rendered to said minor under general or specific supervision of any surgeon
    licensed under the provision of the Medical Practice Act or the medical staff of a licensed hospital or by a dentist licensed
    under the provisions of the Dental Practice Act, whether such diagnosis of treatment is rendered at the office of said
    physician or dentist or at the said hospital. I (we) also understand and agree that any and all such medical, dental, hospital or similar expenses incurred in the treatment of my (our) child will be borne by myself (ourselves). We understand that no representation of such coverage exists or is intended by this form.
    It is understood that this authorization is given in advance of any specific medical or dental diagnosis, treatment or care being required but is given to provide authority and power on the part of The Chicago Lighthouse (as aforesaid) as my (our) agent(s), to give specific consent to any and all such diagnosis, treatment or care which a licensed physician or dentist in the exercise of his/her best judgment may deem available. This authorization shall remain effective while the minor is enrolled in any Chicago Lighthouse for People Who Are Blind or Visually Impaired program, unless sooner revoked in writing and delivered. The undersigned further releases The Chicago Lighthouse, and its officers, agents and employees, from any and all legal responsibility for accidents or sickness occurring during or related to the period of time said person is a participant in programs of The Chicago Lighthouse. I (we) further agree and covenant (for valuable consideration, receipt of which is acknowledged) that neither said person nor I (we) will institute any suit or action of damage, loss or injury of any kind, whether to person or property, whether to me (us), individually, or as parents/guardians relating to the programs or activities of The Chicago Lighthouse in which the minor participates.


    I hereby authorize and give permission for the participant’s name, photograph, video and/or other identifying information (such as age, eye condition, etc.) to be used by The Chicago Lighthouse for publicity, collaborative or training purposes. I understand such uses may include brochures, newsletters, website entries, press releases or written stories without payment or any other compensation. I further understand some uses may be for information and material sent to other organizations/companies (newspapers, television, radio, conference presentations, etc.) and that the materials will become the property of The Chicago Lighthouse and will not be returned.


    I hereby authorize and give permission to The Chicago Lighthouse to obtain and/or provide information to school district(s) , optometrist/ophthalmologist and/or Bureau Blind Services (BBS) for programming and collaboration regarding the participant listed below. The Chicago Lighthouse may contact participants to gather opinions about the programs attended.


    I hereby authorize and give permission for the participant identified below to participate in any off-site activities as a part of the selected programs. I understand such activities will be provided in a vehicle owned or rented by The Chicago Lighthouse and will be accompanied by a Chicago Lighthouse staff member.


    I hereby authorize and give permission to The Chicago Lighthouse to provide transportation for the participant identified below during Chicago Lighthouse programs for purposes of participating in programming and off- site activities.

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  • This field is for validation purposes and should be left unchanged.






 

 

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