Project SEARCH: Carilion Clinic is a one year program that provides education and on-site training to prepare youth with disabilities to be work ready upon graduation from high school. The program, which serves as a workforce alternative for students in their last year of high school, is located at a community health-care facility, Carilion Clinic. Students participating in Project SEARCH: Carilion Clinic report each day to the host business, learn employability skills in the classroom, and job skills while participating in three unpaid internships during the year. Students actively participate in defining their career goal and planning the necessary steps to achieve that goal. Students also have the added benefit of learning life skills, such as utilizing public transportation, to report to work sites. The ultimate goal, upon program completion, is to have the skills necessary to obtain competitive employment. Students are chosen for the program by a selection committee made up of individuals from the organizations involved in the Project SEARCH: Carilion Clinic collaboration including the Department for Aging and Rehabilitative Services (DARS) and local school systems. The Down Syndrome Association of Roanoke generously provided the funds to cover startup costs for the program.