Alyssa Burnett Adult Life Center
If you are interested in enrolling for classes, please follow the intake process outlined below.
1. Complete intake application
- Complete our intake application (PDF).
- Please note that we do not discriminate based on any past or current behavior or aggression. However, we do require full disclosure and request that families complete the application with as much detail as possible. Failure to provide thorough information may result in suspension or termination from the program.
2. Additional paperwork required
Along with your application, the following is required documentation (if applicable).
- Most recent Person Centered Service Plan (PCSP)
- Request the current Annual Assessment Details from your case manager and inform them the Summary Sheet is not sufficient.
- Individualized Education Plan (IEP)
- Any additional behavior or care plans
3. Submit required paperwork
Please do not drop off the form in person. We ask that you submit the form by email, mail or fax. Send your completed application and accompanying paperwork to any of the following:
- Email: email@example.com
- Mail: 19213 Bothell Way NE, Bothell, WA 98011
- Fax: 206-985-3341
4. Schedule intake appointment and pay intake fee
You will receive an email with a link to schedule your intake appointment. Please select your desired intake appointment and submit payment for the intake processing fee. You will receive an email confirmation when this step is complete.
Please note that we charge a fee of $100 to cover the cost of processing each participant’s application, which will be processed at the time you schedule your appointment. This fee is non-refundable unless the program is deemed by Burnett Center staff to be an unsuitable fit for the prospective adult. This fee must be covered by private-pay credit card, debit card or check. If the cost of the intake fee presents a barrier, please email our program manager regarding your situation.
Payment and Billing
Credit card, check and DDA respite hours are accepted forms of payment. Tuition for all classes will be due on the first day of the quarter. A monthly payment plan is available for those paying with credit/debit cards, in which auto-payment would occur on the participant’s first day of classes each month.
We have a Respite Contract with DDA and welcome families who want to use hours to pay for classes. In order to thoughtfully serve as many adults as possible, there will be a reserved allotment of spots in each class for families wishing to use respite hours. Respite hours can be used toward specific classes or recreation activities and will be billed at the hourly rate. Families who use respite hours must commit to the entire quarter of classes and will be asked to sign a DDA/Respite Hour Policy Agreement, which outlines that if you do not attend a class for any reason, you are required to pay out of pocket for the missed class (es). Please indicate respite hours as a preferred form of payment on your intake form to assist in planning. At this time, the Burnett Center is not able to accommodate all requests to use DDA respite hours.
Please contact the program manager for more information.
Michael Slater Scholarship Fund
Thanks to the generosity of our community supporters, we are delighted to introduce the Michael Slater Scholarship Fund, offering scholarships for adults to participate in classes and activities at the Alyssa Burnett Center. Named in honor of a special Burnett Center student, the fund exists to support families and adults who could benefit from the Burnett Center and demonstrate financial need.
Candidates must complete the Alyssa Burnett Center intake form (PDF) and complete the intake process prior to being eligible for aid. This is to determine eligibility for program placement and to ensure the candidate is suited for classes and activities at the Burnett Center.
After completing the intake process, families can then apply for aid through the Slater Scholarship Fund. Please complete the scholarship application to demonstrate your need for classes and activities, and provide as much detail as possible about how a scholarship may benefit you/your adult.
Families must submit applications on a quarterly basis adhering to the following application deadlines. Families will be notified two weeks prior to the beginning of the upcoming quarter with confirmation if accepted for aid. There are a limited amount of scholarships available, so if you do not receive aid, please submit the application again for future quarters.
- Spring Quarter 2018: Applications must be received by March 1.
The scholarship committee meets quarterly to review applications. You will receive an email notification on the dates mentioned if you have been selected to receive a scholarship. All information provided will be confidential and only shared with the scholarship committee.
Scholarship applicants must be 18 years old, have completed the Alyssa Burnett Center intake process and demonstrate financial need. Provide as much detail as possible to help convey financial need, and how aid would benefit the adult participant.
Families may receive financial aid for up to two quarters of activities at the Burnett Center, and scholarship amount (paid in classes and recreation activities) will vary based on individual circumstances and need.