IEP Information Form
Getting to Know You
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Email *
First Name *
Last Name *
Phone *
Home City  & State *
I am seeking information for:
Student's Grade *
Student's Age *
Are you the student's legal guardian? *
Required
Name of school and district *
Do they currently have an IEP or 504 plan? *
Required
If yes, what is the date of their last IEP meeting? *
MM
/
DD
/
YYYY
If yes, when was their last IEP assessment? *
MM
/
DD
/
YYYY
Are you currently working with an attorney or advocate? *
Are you currently in a due process, mediation, or settlement agreement? *
What are you hoping to get from the school? 
Column 1
Test my child
Hold an IEP meeting
Get new/better supports
New assessments
Start the IEP process
Other
Clear selection
Where do you feel you need support? *
Pick as many as apply
Column 1
Getting my child an IEP
Communicate better with the school
Understand the reports from the school
Help me in the IEP meeting
Other
I understand this questionnaire is for informational purposes only, and all education decisions are my own. *
Required
I understand Shannon is not an attorney and does not provide legal advice. *
Organization Name (if applicable)
Number of attendees (if group training)
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