Thank you for your interest in the Yes I Can Unity Through Music and Education Programs! Classes are filling up fast for Summer 2024! Complete and submit the form below to be added to the Interest List for the YIC Programs to begin in Summer 2024. Once classes are filled for the Summer cohort, your name will be added to the next cohort to begin in Summer, July 2025.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone Number

Have you exited the high school system?

Please select from the options below.

What Program are you Interested in?

Regional Center UCI#

Please enter your Regional Center UCI#. Your UCI# can be found on the top of your Regional Center IPP reports, or you can call your Regional Center Service Coordinator to ask for your UCI#

Which Regional Center are you a client of?

All of YIC's services are funded by the CA Regional Centers. You must be eligible for Regional Center funding in order to participate in the YIC Programs. Please select where your Regional Center funding comes from.

Transportation

YIC is unable to provide transportation to/from the Program and to/from Internship/Employment Sites at this time. Please select the mode of transportation you will use to get to/from the Program and/or Internship/Employment Sites

News & Updtes

By Submitting This Form, You Agree to Give YIC Permission to Contact You With Program News & Updates. How Do You Prefer YIC Contact You?

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