survey/exámenes

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Family Focus Empowerment Center at CSUN takes great pleasure in announcing to families of all children age 3-22 who have IEPs that the California Department of Education has awarded us a Family Empowerment Grant (SB511) to better serve our families by providing free information, referrals, resources and educational programs. Please complete the following survey, so we can better meet your needs. This survey is confidential.

Date:

Event/Location:

Name:

 Address:

City:

 Zip Code:
Phone: Email:
Name of school your child (children) attends?
Does your child have an IEPs?
Are you able to observe your child in the classroom?
Do you volunteer in the class or school?
What is the age of your child?
What is your child's disability?
What is the sex of your child?
Is your child in the school lunch program?
What language do you prefer?
Which of the following workshops or seminars would you like to attend?
Autism Individualized Education Program Clinics
Advocacy IDEA
ADD/ADHD Learning Disabilities
Americans with Disabilities Act Making Friends
Cerebral Palsy Mental Retardation
Dating Parenting Skills
Emotional Disturbance Positive Behavior Support
Getting along in a bureaucracy School Reform
Hard of hearing information Sex Education
Seizure disorder Sibling Concerns
Social Behavior Issues Speech and Language concerns
Support Groups Transition
Traumatic Brain Injury Visual Impairment
Other....   If other

 
 
 
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Michael D. Eisner College of Education Room E109
Phone (818) 677-5575 Fax (818) 677-5574
family.focus@csun.edu, [Daily/Session Log Entry] [Monthly Report Entry]
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