Initial Application for CCB Summer Programs - Colorado Center for the Blind

This form is an initial application for our summer youth programs. CCB offers four summer programs for youth, but space is limited. Applications are considered on a first-come, first-served basis, so completing this information and submitting ensures your place in line. In addition, the student must submit an essay of up to 250 words explaining why the student wants to attend summer programs at the Colorado Center for the Blind.

Once the form is completed and the essay received, you will be contacted by our Youth Services Director for an interview. Following the interview, you may be requested to provide additional information, such as relevant educational and medical information, and to sign releases for social media and challenge recreation programs, which may include rock climbing and whitewater rafting. The application will not be complete until those additional documents are also completed and returned to us.

If, for any reason, you are unable to provide any of the information requested here (other than the optional questions), please contact Martin Becerra-Miranda, Director of Youth Services at 303-778-1130 extension 223 or via email at mbecerra@cocenter.org. Martin will do his best to help you complete the application process.

CCB offers one 8-week program and three Summer Short Courses. You may choose the 8-week program, or one or more of the three Summer Short Courses shown below. Students in the 8-week program will be able to participate in the same activities offered in the three Summer Short Courses. The Summer Short Courses are designed to offer more focused activities for students who would otherwise not be able to attend the 8-week program at CCB. Show Program Descriptions

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No Limits to Learning

Transition Program (8 weeks) This residential program will change your life. You will live in an apartment with other students and a staff member. Learn about the world of work and meet blind people who work in all kinds of jobs. Challenge yourself through our program by participating in rock climbing, goalball, white water rafting and much more. Build your core skills in Braille, technology, home management and cane travel. Attend the convention of the National Federation of the Blind in Las Vegas, Nevada. Expand your skill set in STEM fields with hands-on experiments using accessible, nonvisual tools and strategies. Learn what it takes to be successful in college, including how to navigate the new landscape of higher education. You will learn that being blind will not limit you from pursuing your dreams.

Summer Short Courses:

Select one or more of the following:

The World of Work

Pre-Employment Program (2 weeks) Challenge yourself with new experiences! You will travel the Denver metro area via bus and light rail to meet with blind people who work in a variety of professions. Develop confidence and your own style of networking. Practice your interviewing skills and put together a resume and cover letter.

Challenge and Adventure

Self-Advocacy Program (9 days) Run in a 5K race, play goalball and hockey, learn self-defense, go canoeing, whitewater rafting and much more. Prepare delicious foods and learn about maintaining a nutritious diet. On the slower side try yoga, gymnastics and develop an exercise routine.

Cracking the College Code

College Prep Program (1 Month, July 1 – 31) Develop the skills you need to be successful in college as a blind student. Expand your skill set with accessible tools and strategies for chemistry, biology, statistics, robotics and more. Practice self-advocacy and learn how to navigate the new landscape of higher education.

Which program(s) are you interested in? *

No Limits to Learning
Summer Short Courses

Required: Check each of the following Short Courses you plan to attend:

Summer Short Courses *

The World of Work
Challenge and Adventure
Cracking the College Code

Student Applying

Student Name *

First Last

Student Address *

Street Address Address Line 2 City State ZIP Code

Student Cell Phone *

Student Home Phone

Student Email *

Date of birth *

Gender *

Parent/Guardian

Relationship to Student *

Parent/Guardian Name *

First Last

Parent/Guardian Email *

Parent/Guardian Phone Number *

Parent/Guardian Home Phone

Does the student applicant have a Vocational Rehabilitation Counselor? *

Yes
No

Vocational Rehabilitation Counselor’s Name *

First Last

Vocational Rehabilitation Counselor’s Phone

Vocational Rehabilitation Counselor’s Fax

Vocational Rehabilitation Counselor’s Email *

Vocational Rehabilitation Counselor’s Address

Street Address Address Line 2 City State ZIP Code

Does the Student have a TVI? *

Yes
No

Name of TVI *

First Last

TVI Phone

TVI Email *

Can we contact TVI? *

Yes
No

Additional Information:

Please e-mail the additional application information to: *

Optional Questions:

Note: All the information provided here is confidential and will not be released without prior written consent by the responsible adult. The information requested below is optional, and will be used for statistical and reporting purposes only. It will be published only in an aggregate form and without individual identifiers attached. For example, we might report the number of blind youth from Antarctica we served in our summer programs.

Race/Ethnicity

English Language Learner

Yes
No

Is the student eligible for free or reduced lunch?

Yes
No

Before pressing the submit button, please review all information, especially spelling of names, phone numbers and e-mail addresses to be sure all are correct.

No Limits to Learning

Summer Short Courses:

The World of Work

Challenge and Adventure

Cracking the College Code

Student Applying

Parent/Guardian

Additional Information:

Optional Questions:

General:

Our Programs:

For VR Counselors: