FCSN’s Navigating Transition Workshop Series

Join us on the first Tuesday of each month from 6-7 to hear from experts on different parts of the transition process! Throughout this series we will discuss topics like employment, independent living, social opportunities, benefits, and more.

The Federation for Children with Special Needs is funded by grants which require us to collect data. Your data is safe and will not be shared or sold.

First Name(Required)

Last Name(Required)

Email(Required)

Address

State

MAALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYAS   American Samoa)DC  District of Columbia)FM  Federated States of MicronesiaGU  GuamMH Marshall IslandsMP Northern Mariana IslandsPW PalauPR   Puerto RicoVI   Virgin Islands

City(Required)

AbingtonActonAcushnetAdamsAgawamAlfordAllstonAmesburyAmherstAndoverAquinnahArlingtonAshburnhamAshbyAshfieldAshlandAtholAttleboroAuburnAvonAyerBack BayBaldwinvilleBarnstableBarreBeacon HillBecketBedfordBelchertownBellinghamBelmontBerkleyBerlinBernardstonBeverlyBillericaBlackstoneBlandfordBoltonBondsvilleBostonBourneBoxboroughBoxfordBoylstonBradfordBraintreeBrant RockBrewsterBridgewaterBrightonBrimfieldBrocktonBrookfieldBrooklineBucklandBurlingtonBuzzards BayCambridgeCantonCarlisleCarverCentervilleCharlemontCharlestownCharltonChathamChelmsfordChelseaCheshireChesterChesterfieldChicopeeChilmarkChinatownClarksburgClintonCohassetColrainConcordConwayCotuitCummaquidCummingtonDaltonDanversDartmouthDedhamDeerfieldDennisDennisportDevensDightonDorchesterDouglasDoverDracutDudleyDunstableDuxburyEast BostonEast BridgewaterEast BrookfieldEast LongmeadowEasthamEasthamptonEastonEdgartownEgremontErvingEssexEverettFairhavenFall RiverFalmouthFenwayFitchburgFloridaForestdaleFoxboroughFraminghamFranklinFreetownGardnerGeorgetownGilbertvilleGillGloucesterGoshenGosnoldGraftonGranbyGranvilleGreat BarringtonGreen HarborGreenfieldGrotonGrovelandHadleyHalifaxHamiltonHampdenHancockHanoverHanscom Airforce BaseHansonHardwickHarvardHarwichHatfieldHaverhillHawleyHeathHinghamHinsdaleHolbrookHoldenHollandHollistonHolyokeHopedaleHopkintonHubbardstonHudsonHullHuntingtonHyannisHyannisportHyde ParkIpswichJamaica PlainJeffersonKingstonLakevilleLancasterLanesboroughLawrenceLeeLeicesterLenoxLeominsterLeverettLexingtonLeydenLincolnLittletonLongmeadowLowellLudlowLunenburgLynnLynnfieldMagnoliaMaldenManchester by the SeaMansfieldMarbleheadMarionMarlboroughMarshfieldMartha's VineyardMashpeeMattapanMattapoisettMaynardMedfieldMedfordMedwayMelroseMendonMerrimacMethuenMiddleboroughMiddlefieldMiddletonMilfordMillburyMillisMillvilleMiltonMission HillMonroeMonsonMontagueMontereyMontgomeryMount WashingtonNahantNantucketNatickNeedhamNew AshfordNew BedfordNew BraintreeNew MarlboroughNew SalemNew SeaburyNewburyNewburyportNewtonNorfolkNorth AdamsNorth AndoverNorth AttleboroNorth BrookfieldNorth EndNorth ReadingNorthamptonNorthboroughNorthbridgeNorthfieldNortonNorwellNorwoodOak BluffsOakhamOrangeOrleansOstervilleOtisOtis Air Force BaseOxfordPalmerPaxtonPeabodyPelhamPembrokePepperellPeruPetershamPhillipstonPittsfieldPlainfieldPlainvillePlymouthPlymptonPrincetonProvincetownQuincyRandolphRaynhamReadingReadvilleRehobothRevereRichmondRochesterRocklandRockportRoslindaleRoweRowleyRoxburyRoyalstonRussellRutlandSagamoreSalemSalisburySandisfieldSandwichSaugusSavoyScituateSeekonkSharonSheffieldShelburneSherbornShirleyShrewsburyShutesburySomersetSomervilleSouth BostonSouth ChathamSouth DennisSouth EndSouth HadleySouthamptonSouthboroughSouthbridgeSouthwickSpencerSpringfieldSterlingStockbridgeStonehamStoughtonStowSturbridgeSudburySunderlandSuttonSwampscottSwanseaTauntonTempletonTewksburyThorndikeThree RiversTisburyTollandTopsfieldTownsendTruroTyngsboroughTyringhamUptonUxbridgeVineyard HavenWakefieldWalesWalpoleWalthamWareWarehamWarrenWarwickWashingtonWatertownWaylandWebsterWellesleyWellfleetWendellWenhamWest BoylstonWest BridgewaterWest BrookfieldWest EndWest NewburyWest RoxburyWest SpringfieldWest StockbridgeWest TisburyWest YarmouthWestboroughWestfieldWestfordWesthamptonWestminsterWestonWestportWestwoodWeymouthWhatelyWhitmanWilbrahamWilliamsburgWilliamstownWilmingtonWinchendonWinchesterWindsorWinthropWoburnWoods HoleWorcesterWorthingtonWrenthamYarmouthYarmouthportOther City in MAOther City out of stateUnknown

Out of State City

Zip/Postal Code(Required)

Preferred Phone Number

Cell PhoneHome PhoneWork Phone

Cell Phone

Home Phone

Work Phone

Are you attending this event as a:(Required)

Parent/CaregiverParent/ProfessionalFoster ParentGrandparentProfessional EducatorProfessional OtherStudent (14-22)Other

Organization

Are you an SESP (Eligible Special Education Decision Maker)?(Required)

YesNo

What is your ethnicity?(Required)

Hispanic or LatinoNot Hispanic or LatinoUndisclosed

What is your race?(Required)

Caucasian/WhiteAfrican-American/BlackAmerican Indian/Native American/Alaskan Native (*Specify)AsianNative Hawaiian/Pacific Islander (*Specify)Two or more racesUndisclosed

Specify race

Primary Language(Required)

EnglishAmerican Sign LanguageChineseHaitian CreolePortugueseSpanishVietnameseOther Language

Other Language

Chinese Dialect

CantoneseMandarin

What is your child's ethnicity?(Required)

Hispanic or LatinoNot Hispanic or LatinoUndisclosedN/A

What is your child's race?(Required)

Caucasian/WhiteAfrican-American/BlackAmerican Indian/Native American/Alaskan Native (*Specify)AsianNative Hawaiian/Pacific Islander (*Specify)Two or more racesUndisclosedN/A

Specify child's race

Age of child with special needs?(Required)

Birth to 33-56-1112-1314-GraduationBeyond High School Graduation or Aged OutUndisclosedN/A

What is your child's primary disability?(Required)

AutismDeafDeaf-BlindnessDevelopmental delayEmotional DisturbanceHearing ImpairmentIntellectual DisabilityMultiple DisabilitiesOrthopedic ImpairmentOther Health Impairment (ADD/ADHD)Specific Learning Disability (Dyslexia)Speech or Language ImpairmentTraumatic Brain InjuryVisual Impairment-BlindnessInappropriately IdentifiedDisability is suspected or not yet identifiedChild/Youth does not have a disabilityUndisclosedN/A

What is your child's secondary disability?

AutismDeafDeaf BlindnessDevelopmental delayEmotional DisturbanceHearing ImpairmentIntellectual DisabilityOrthopedic ImpairmentOther Health Impairment (ADD/ADHD)Specific Learning Disability (Dyslexia)Speech or Language ImpairmentVisual Impairment-Blindness

Is your family military-connected?(Required)

YesNo

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