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Mentoring and Community integration
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Home
about us
contact
fundraising
Special Events
stop the violence
more
Mentoring and Community integration
Community Garden (2025)
Food Bank
C.L.T.S. Program
Daily Living Skills and Training Services
Community Integrated Employment Program
Daily Career Planning Program
Volunteer Sign-Up
join us
Midwest Monsters CLTS Application
Midwest Monster's Academy Inc. Community Programs / Social Services
Children’s Long-Term Support (CLTS) Non-Medical Services Application
Eligible Ages: 18–22
Midwest Monster's Academy Inc. Community Programs / Social Services
Child's Full Name
(Required)
Date of Birth
(Required)
Parent/Guardian Name
(Required)
Phone Number
(Required)
Email Address
(Required)
Home Address
(Required)
City, State, Zip
(Required)
Requested Services
(Required)
Grief and Bereavement Counseling
Health & Wellness
Support and Service Coordination
Daily Living Skills and Training
Community Integration Services
Discovery and Career Planning
Financial Management Services
Community/Competitive Integrated Employment
Mentoring Program
Personal Support
Safety Planning and Prevention
Daycare
Transportation
Respite Care
Participant and Family-Directed Broker Services
Additional Information / Special Needs:
Consent & Signature I certify that the information provided is accurate and consent to services.
(Required)
Parent/Guardian Signature
(Required)
Date
MM slash DD slash YYYY
