TSBVI Outreach Consultant Rapid Response
Please answer the following questions as completely as possible. We will respond to your request within two working days.
1 of 10 What is your name?
2 of 10 What is your role?
Family of a Student
Teacher of the Visually Impaired (TVI)
Teacher of the Deafblind (TDB)
Teacher of Deaf/Hard of Hearing (TDHH)
3 of 10 Please enter your email address.
4 of 10 Please enter your phone number, include area code
5 of 10 Please enter the student's first name only.
6 of 10 What city or town are you in?
7 of 10 What is the educational setting of the child?
School District (Public School)
Student is 19 or older
8 of 10 What is the name of the child's school? (if applicable)
9 of 10 Does the student have a hearing loss or qualify for services as a student who is deafblind?
10 of 10 Please describe why you are requesting a consultation (300 character limit).
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