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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 (
aubrey@josephmaley.org
)
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* Indicates required question
Email
*
Your email
Parent/Guardian Full Name
*
Your answer
Telephone Number (with area code)
*
Your answer
Child's Full Name
*
Your answer
What is your child's age?
*
Your answer
Is your child currently in school?
*
Yes
No
What school does your child attend?
*
Your answer
What public school district do you live in?
*
Your answer
What public school district is your child's school located in?
*
Your answer
School system/corporation for school
*
Your answer
Does your child currently have an IEP (Individualized Education Program) in place?
*
Yes
No
Describe your child's conditions/special needs (100 word limit)
*
Your answer
Describe the current issue(s) for which you are seeking pro bono guidance. (100 word limit)
*
Your answer
Do you have any upcoming meeting dates scheduled with the school, if so what is the date, location, and meeting type?
*
Your answer
Does your family have financial limitations that make retention of private legal counsel challenging?
*
Yes
No
How did you learn about Joseph Maley Foundation? (100 word limit)
Your answer
A copy of your responses will be emailed to the address you provided.
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