New to Education Team Allies? We're so excited that you've found us! Please fill out the form below so that we may learn more about you and your family. Thank you

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We are so glad you reached out for help for your child. Our fist step is to schedule a 20 minute consult (no cost) so we can learn more about your child, their needs, and your concerns.

Please tell us a bit of demographic information and if you would like let us know your top 3 education concerns (only 2-3 sentences each) below.

After our phone consult, we'll send you a recap of our conversation, an action plan, and next steps for working together, if you choose.

We know this process can be stressful and we're looking forward to helping you!

-Beth, Your Education Team Allies

http://www.educationteamallies.com.

Parent Name (First, Last) *

Student's Name (First, Last) *

If You Are *Not* The Parent, Are You The Student's Legal Guardian?

Yes

Other:

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Phone Number *

Email *

Preferred Method of Contact *

Phone

How Did You Learn About Education Team Allies? *

Is The Student in A Public or Private Placement? *

Public

Private

Other:

Maryland county where child receives services *

Placement of Your Child Within The School *

Fully Included in General Education With Push-In Services

Recieves Some Time In the General Education Setting With Some Pull-Out Services

Self-Contained

Student Attends A Special School Instead Of Our Home School

Other:

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