Request a Special Education Advocate : What We Do : The Arc of New Jersey Family Institute

The Arc of New Jersey Family Institute is happy to assist families with children who receive special education and related services. We are able to provide information, education, and advocacy for families who are experiencing difficulty with their child's school district. If you require help from a non-attorney advocate regarding special education, please complete the following form and a member of our staff will contact you to provide assistance.

Please provide the following information:

Parent/Guardian Name

First Name *

Last Name *

Phone

E-mail Address

Preferred Response

Child's Name

First Name *

Last Name

Date of Birth

Month

Day

Year

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Current Age

What is the individual's diagnosis?

Has the individual received services through:

Early Intervention
The Department of Children and Families/PerformCare (DCF)
The Division of Developmental Disabilities (DDD)
Division of Vocational Rehabilitation Services (DVRS)
I Don't Know

City of Residence

School District

Please check the box that best fits your situation

Upcoming IEP Meeting
Unhappy with Recent IEP Meeting
Requested Mediation
Filed for Due Process
Need Help with Out of District Placement
Other

Brief Description of Problem or Issue

How did you hear about us?

Would you like to receive email updates from The Arc of New Jersey Family Institute?

Yes
No
I already received emails from The Family Institute

I give permission for this information to be forwarded by The Arc of New Jersey to the Department of Children and Families (DCF), the Division of Developmental Disabilities (DDD) and/or NJ Division of Medical Assistance and Health Services (NJ Medicaid), or any other agency that may be able to help.

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