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Wanted: Your Success Story!

Have we made a difference in your life or that of a family member? We would like to hear your story. Share your success story with us and it may be used in The Advocacy Center Publications and here on our website.

Share a success story

First Name:

Last Name:

Phone Number:

Email:

Child's Age:

Child's Grade:

School District:

School Name:

Child's Disability/ Classification on IEP: Please choose Child's Disability Autism Deafness Deaf-blindness Emotional disturbance Hearing Impairment Learning disability Mental retardation Multiple disabilities Orthopedic impairment Other health-impairment Speech or language impairment Traumatic brain injury Visual impairment

Other Disability or Suspected Disability:

Your Message:

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