Request for Services

To request services from Evanston CASE, please complete the form below.

 

Your name (required)

Your email (required)

Mailing address (required)

Phone number

What is the best way to reach you?
 E-mail Phone

School and grade of student?

Does the student have an IEP or 504 plan?
 IEP 504

Special education eligibility category? (ED, SLD, OHI, etc.)

Date and time of your next meeting (if one is scheduled)?

Type of meeting? (annual review, initial, reevaluation, etc.)

Brief info about how we can help you

How did you find out about CASE?
 Saw a flyer An email from the school/PTA Told by a friend Search engine Other