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PC READS ADVOCATE PROGRAM: Assistance Request
Our Advocate Program strives to provide a personalized experience for families. Assisting families often includes reviewing both school and private assessments, explaining school procedures and services, and reviewing and revising IEP goals and 504 accommodation plans. Our Advocates have completed training through the Dyslexia Training Institute and are Certified Dyslexia Advocates. Please note that our advocates are not attorneys and are not providing legal advice or opinions.

After completing this form, a PC READS Advocate will contact you. Should you not hear from us within 2 weeks, please email Elissa Aten at elissa.pcreads@gmail.com. This program is supported by a Park City Community Foundation Community Grant.

Email address *
Today's Date *
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Parent Name *
Your answer
Parent Phone Number *
Your answer
Parent E-Mail Address *
Your answer
Parent Mailing Address *
Your answer
Second Parent Name (optional)
Your answer
Second Parent Phone Number
Your answer
Second Paren E-Mail Address
Your answer
Second Parent Address
Your answer
Student Name *
Your answer
Student's Current Grade *
Student's Current School *
Please check all below that are applicable: *
Required
Please provide a brief summary of your child's current situation and the reason for your concerns.
Your answer
Do you receive the PC READS E-News? *
How did you learn about PC READS Advocate Program? *
Required
If someone personally referred you to PC READS, please consider sharing their name with us. Thank you!
Your answer
If you are completing this form on behalf of a student and you are not their parent, please provide your name, email, phone number and mailing address below. Also, please include your relationship to the student (guardian, friend, etc.) Thank you!
Your answer
I understand that PC READS' Advocates are not attorneys and are not providing legal advice or opinions. *
A copy of your responses will be emailed to the address you provided.
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