Student Services Registration Form

Complete this short form so we can help your student access services through ESA Vouchers (Texas Education Freedom Act - TEFA), Parent Directed Services (PDSES), TWC Vocational Rehabilitation, (Pre-Employment Transition Services - Pre-ETS, school referral, or private enrollment.

A team member will contact you within 1 business day (often sooner during TEFA registration).

2026 Registration Cycle:

ESA Vouchers - Feb 4th - March 17th 2026

PDSES (Parent Directed Grant Funds): April 1st - April 30, 2026

Parent First Name *

Parent Last Name

Phone *

Email *

Student Full Name *

Date of birth *

Grade Level *

School District *

City & State *

How will your student receive services? *

TEFA-I need help registering today

TEFA-already registered

PDSES Funds

TDEC Vocational Rehabilitation (VR)

Pre-ETS (ages 14–22, typically through school or VR referral)

School district referral

Private pay

I'm unaware of these services and need additional information

VR Counselor Name (Only required if VR or PRE-ETS is selected in the options above).

VR Email (Only required if VR or PRE-ETS is selected in the options above).

Is the student currently receiving Pre-ETS through school? (Only required if VR or PRE-ETS is selected in the options above).

Yes

Unsure

Does your child have a disability or learning difference?

Yes

Perfer Not to Say

What type of support are you seeking? *

Academic tutoring

Social skills training

Executive functioning / study skills

Pre-ETS transition services (career exploration, work readiness, self-advocacy, workplace skills)

Transition or career readiness support

Parent consultation

Not sure yet — need guidance

How do you prefer to schedule?

Virtual

In-Person

Either

Best times for scheduling

Mornings

Afternoons

Evenings

No Preference

Do you understand this form is a request for services and a team member will contact you regarding eligibility, funding, and scheduling.

Yes, I understand.

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