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San Andreas Regional Center

6203 San Ignacio Ave, Suite 200 , San Jose, 95119, US


ILS/SLS Vendor Applicant Questionnaire

Full Name

Date Submitted

Date Picker
1. Please describe your experience managing a program for people with Intellectual/Developmental Disabilities. Include the number of staff you supervised, the names of the companies, and the dates of your time with each company.
2. Please give at least two examples of people with Intellectual/Developmental Disabilities you have worked with, including the type of developmental disability, challenges they experienced and the outcome. Please identify if they were San Andreas consumers.
3. How has your experience detailed above prepared you to manage a service agency for persons with Intellectual/Developmental Disabilities?
4. Please write 1 to 2 paragraphs to describe the regional center service system. Include your knowledge of Title 17 and the Lanterman Act and how they directly impact services, particularly with Independent Living Services and Supported Living Services.
5. Please provide at least two direct references who can speak to your experience working with people with Intellectual/Developmental Disabilities.