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ERN Parent Hotline Form
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How did you get this contact? (meeting, friend, online, other)
other
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Your answer
First and Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Address
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Your answer
What school does your child attend?
Your answer
What grade is your child in?
Your answer
Describe the issue that you are seeking help with?
Your answer
Does your child have a health, physical, or intellectual disability diagnosis?
Yes
No
I'm not sure
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Does your child have an IEP?
Yes
No
I'm not sure
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Does your child have a 504 plan?
Yes
No
I'm not sure
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Has your child been suspended this year? (In-School-Suspension or Out-of-School-Suspension)
Your answer
Has your child received a Citation or Arrest this year?
Your answer
Has your child been sent to the Magistrate for truancy this year?
Your answer
Would you be interested in attending a Know Your Rights webinar on understanding disability and criminal justice practices?
Yes
No
Maybe
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