ADMISSIONS

Applicant
Recommendation
Form

Applicant Name(Required)
Person Completing Form(Required)

Please rate the applicant in the following areas using the following scale (1=Low, 5=High)

Initiative
Motivation
Reliability
Self-Advocacy
General Attitude
Self Sufficency
Ability to relate to peers
Ability to relate to teachers/staff
Ability to attend the daily schedule
Ability to make decisions
Ability to react in an emergency/follow health, safety rules
Ability to use people as resources
Emotional stability
Ability to cope with stress
Ability to adjust to new situations
Ability to separate own problems from those of others
This field is for validation purposes and should be left unchanged.

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If you're interested in LIFE or have any questions, please contact us. We'd love to hear from you.


Main Office:

550 Lincoln Road Ext.
Hyannis, MA 02601

CONTACT:

Tel. 508-790-3600
Fax. 508-778-4919 info@lifecapecod.org


Living Independently Forever, Inc. (LIFE) is a non-profit with multiple locations throughout Southeast Massachusetts on Cape Cod and in Plymouth supporting adults with autism, learning disabilities, and intellectual disabilities in their pursuit of a happy, independent life.