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Transition Technical Assistance Request
Use this form to request technical assistance with high school transition and/or 18-22 transition programs through the OSDE-SES Program Specialist for Secondary Transition.
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* Indicates required question
Date of Request
*
MM
/
DD
/
YYYY
School District or Agency
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Position
*
District Administrator/Special Education Administrator
School Administrator/Special Education Department Leader
School Counselor
Special Education Teacher
Related Service Provider
District or Site Student Information System (SIS) Staff
Other Agency Staff
Other:
E-mail Address:
*
Your answer
Phone Number + Extension, if applicable:
*
Your answer
Technical assistance format(s) requested:
*
E-mail
Phone
Virtual (via Microsoft Teams)
In Person
Other:
Required
Briefly describe your area(s) of need for Transition Technical Assistance:
*
Your answer
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