We appreciate your interest in the Hands & Voices ASTra Educational Advocacy Program. While it can be difficult to put into words the many concerns you may have about your child, please fill out this form completely. It will help us understand your situation and will give us the necessary information to support you in your child’s education planning
If you have letters and/or supporting documentation, please attach them to your submission. PLEASE NOTE: file uploads may not work on some mobile devices. Any documents you are unable to upload, may be submitted separately. Instructions will be contained in your confirmation email for email/fax/mail submission options.
We know this is a long form, but it will be helpful to your child’s IEP!
We cannot schedule a time with you to talk or plan to attend any meetings with you until this form is completed.
NOTE: We do not provide legal advice. If you are planning to file Due Process or are in Due Process, please consult an attorney.
How does your child prefer to communicate? (Select one or any combination).
Describe the communication in your home and at school. Provide a description of communication/language used and any difficulties you see.
Describe child's hearing levels.
Describe child's educational setting.
Grade Level Functioning
Indicate your child's functioning compared to grade level.
Provide name and contact information for the professionals who are most familiar with and have the best understanding of your child and situation.
Select all areas of concern according to priority of need.
Our advocacy services depend largely on voluntary support. ASTra services are free to families, but your membership donation to the local Hands & Voices Chapter helps provide this type of support to families, and priority is given to members. If you'd like to join please complete a membership application following this form.
The local chapter will call/email to schedule a phone appointment with you within ten days of receiving this form. If you don’t hear from us, please call to confirm that the form was received. Please note our amount of support we can provide will be determined by the availability of our staff/volunteers. Meanwhile, see the following Hands & Voices websites for helpful information: Hands & Voices Headquarters.