Understanding the Reevaluation and IEP Processes

A PEAL Center training in partnership with Special Education Alliance of Cheltenham (SEAC)

Thursday January 9th at 7:00 PM

First Name

Last Name

County

Are you a parent or caregiver of a child or young adult with disabilities?

YesNo

PEAL's programs are provided free for families, but we do need as much of this information as you are willing to provide for our funders. The answers you provide are confidential and will not be shared.

What race do you identify as?

Do you identify as Hispanic or Latinx?

YesNoI prefer not to say

What race does your young adult identify as?

Does your young adult identify as Hispanic or Latinx?

YesNoI prefer not to say

What year was the child/youth you are attending for born (use comma)? If you are attending for multiple children, please list all years.

What is the disability category of your young adult?

Does you need accommodations to participate? If so, please specify and we will do our best to meet those needs.

Would you like to be added to PEAL's mailing list?

YesNoI am already subscribed

Contact Information