Request for Technical Support

Project CHOICES assists school districts and communities in developing and expanding inclusive options for children and youth with disabilities.

Please fill out the form below, or download the form and mail or fax it to the Project CHOICES office:

District Name (required)

District Number (required)

Specific school in district requesting services

School address (required)

Individual initiating request (required)

Position

Email (required)

Phone (required)

Fax

Best time to contact individual listed above (required)

What are your desired outcomes as a result of working with Project CHOICES?

Is a district administrator aware of this request?

YesNo

How did you hear about Project CHOICES?

If you selected other, please specify