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ADE OSE Family Survey Request Form
Please complete this form if you need scantrons for ADE Office of Special Education Family Survey. ALL fields are required.
- Scantron forms are due to Office of Special Education by June 30th. 
- Online survey forms are due by July 15th. 
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Email *
School District LEA Number *
School District Name *
Contact Name *
Contact Phone Number *
Mailing Address *
City, State, Zip *
Type of survey and number requested.
For example, School Age- 500 
or Early Childhood: English- 200
or Early childhood: Spanish- 25
 *
Thank you for completing the request form. If you need additional assistance, please call the ADE OSE office and ask to speak with a member of the IDEA Data and Research Team. 
https://dese.ade.arkansas.gov/Offices/special-education/ 
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