SPED Needs Request Form
In the aftermath of Hurricane Harvey, KNOWAutism Foundation and partner organizations are looking to help coordinate donations and assistance to special needs students in Houston (and surrounding areas). We want to focus some of our efforts on working with Special Education teachers, who can more directly identify the needs of their students.

We are working to create a database of needs/requests that we can use to try to match with donors and relevant organizations. We cannot guarantee that requests will be fulfilled. But this form will give us a better picture of what is needed and how we may be able to help. All information provided will be kept private and will only be used for the purpose of matching requests with potential donors.

Email address *
Full Name *
Your answer
Job Title *
Your answer
E-mail Address *
Your answer
Phone Number *
Your answer
What school district do you work for? *
(If none, select "Other" and put "N/A")
What school/campus do you work for? *
(If none, put "N/A")
Your answer
How many special needs students do you serve? *
If you work with students at a classroom level, please list the number of students in your class. If you work from a campus or district level, please provide the total number of special needs students you serve.
Your answer
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