Request for Technical Assistance

Part of the mission of the National Dropout Prevention Center for Students with Disabilities is to provide direct technical assistance to states in support of their dropout-prevention efforts geared toward students with disabilities. Please complete the form below to help our staff determine the nature and scope of your technical-assistance needs. After we review your request, we will contact you to discuss how we can be of assistance.

Required *

1. Please enter your name and contact information.

First Name *

Last Name *

Job Title

Please indicate your affiliation. *

State Education Agency

Local Education Agency

Parent

Other - please specify:

Organization

Address 1 *

Address 2

City *

State *

ZIP Code *

Email Address *

Work Phone *

2. Please check the type(s) of technical assistance you would like to receive from NDPC-SD. *

Collecting, analyzing, or using state- and district-level data
Analyzing policies/procedures
Selecting practices and interventions
Program development or support
Focused monitoring indicators
Training or facilitating training for program development
Leveraging existing resources and plans
Program evaluation/evaluating impact
Document review
Other - please specify:

3. Please provide us with some details regarding the nature, scope, and approximate time frame for your request.

4. Please tell us how your organization plans to use the assistance from NDPC-SD to improve results for students with disabilities.

Request for Technical Assistance

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