Joseph Maley Family Support - Special Education Pro Bono Guidance Intake Form
Please fill out this form so we can determine if the Joseph Maley Foundation can assist you and your family.

If you have any questions please contact Senior Communications Manager, Aubrey Wiest (
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Email *
Parent/Guardian Full Name
Telephone Number (with area code)
Child's Full Name *
What is your child's age?
Is your child currently in school?
What school does your child attend?
What public school district do you live in?
What public school district is your child's school located in?
School system/corporation for school *
Does your child currently have an IEP (Individualized Education Program) in place? *
Describe your child's conditions/special needs (100 word limit) *
Describe the current issue(s) for which you are seeking pro bono guidance. (100 word limit) *
Do you have any upcoming meeting dates scheduled with the school, if so what is the date, location, and meeting type?
Does your family have financial limitations that make retention of private legal counsel challenging? *
How did you learn about Joseph Maley Foundation? (100 word limit)
A copy of your responses will be emailed to the address you provided.
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