Private/Home School Consultation

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This form is to be completed for students who attend a private/home school located within the boundaries of Springtown ISD and would like to be considered for IDEA-B proportionate share services.

Eligible participants are those students having a current evaluation that meet special education eligibility criteria, ages 3 (on or before September 1, 2020) through age 21.

Email *

Name of Student *

Date of Birth of Student *

YYYY

Address of Student *

Name of Parent/Guardian *

Phone Number of Parent/Guardian *

Student is enrolled in *

Private School

Home School

If private school, name and address of school

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