CASE Collective Advocacy - Voices From The Field

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Your stories are incredibly important as we advocate on behalf of special education in our public schools and the students and families that we serve.

In our efforts to advocate on your behalf, we are gathering stories to share with members of Congress. Please take a few minutes to complete this survey to assist in CASE's advocacy efforts.

Your contact information is only for follow-up with CASE personnel and will not be shared with anyone outside of the CASE office.

Last name *

First Name *

Email *

State *

School District/Agency Name *

My district/agency has been impacted by current Executive Orders. If yes, explain "how" in the next question. Examples: How many staff have been cut or will be cut? How many students served in special education will be impacted? Will programs in your school/district be cut (and if so, what programs)? What general education programs will be cut if special education is impacted (thus, funding has to come from other programs)? The impact can be anything you are experiencing or anticipate will be reality, but we need the specific situations. *

Yes

If yes, what has the impact been on students with disabilities? *

If you are a contractor with the U.S. Department of Education, has your contract been canceled? *

Yes

You may use my name and school district to share my story. *

Yes

You may contact to obtain additional information. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms