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Transition Get Involved Early Childhood Age 3 to 26

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Information & Workshop/Booth

 

Request Form

 

Note: We are a non-profit organization; therefore there are no charges for any material requests, workshops, booths, etc.
Add to Mailing List: Email Address:
Name:
Address:
City:
State: Zip:
Phone (H):
Phone (W):
Fax:
Child's Name:
Age: Gender: Grade:
Home District:
School:

 

Child's Ethnicity (optional):
African American
Asian
Caucasian
Hispanic
Indian/Native American
Other: 

 

Learned of SPIN from:
Organization Affiliation (if any):

 

Disability
ADD/ADHD
Autism
Developmental Delay (ages 3-9)
Emotional Disturbance
Hearing Impairment/Deafness
Mental Retardation
Multiple Disabilities (none primary)
Other Health Impairments
Orthopedic Impairment
Specific Learning Disabilities
Speech/Language
Suspected Disability
Traumatic Brain Injury
Vision Impairments/Blindness
Other:

 

I'm A
Parent
Other Relative
Surrogate
Foster
Advocate
Legal Guardian
  Professional  
  Administrator
  Health
  Regular Ed.
  Special Ed.
  Service Provider
  Other:

 

Ethnicity (optional):
African American
Asian
Caucasian
Hispanic
Indian/Native American
Other: 

 

Information Request:
Information about KY-SPIN, Inc.
First Steps (0-3) / IFSP (Individual Family Service Plan)
Early Intervention
IEP (Individual Education Program)
I.D.E.A. (Individuals with Disabilities Education Act)
Section 504
Wills, Trust, Guardianship
Evaluation
Independent Education Evaluation
Least Restrictive Environment (LRE) / Placement
Suspension/Expulsion
Mediation
Extended School Services (ESS) / Extended School Year (ESY)
Related Services
Transportation
Records
Individual Learning Plan (ILP)
Diploma bound versus Certificate bound students
S.S.I. (Social Security Insurance)
Medicaid (services and waivers available)
Supported Living (SL)
Supports for Community Living Waiver (SCL)
KCHIP
Prescription Help
Commission for Children with Special Health Care Needs (CCSHCN)
Starting and Maintaining Parent Support Groups
List of Parent Support Groups in Kentucky
Advocating for your Child
A.D.A. (Americans with Disabilities Act)
Self-Determination / Self-Advocacy
Vocational Rehabilitation Program (Voc Rehab)
Personal Futures Planning (PFP)
Disability Information On 
Other 

 

Workshop Request:
Date: (Give several dates to choose from if possible)
Time: Location:
 I.E.P. (Individual Education Program)
It's a Great IDEA (Individuals with Disabilities Education Act)/ Basic Law
Advocating for your Child
AD/HD (ADD/ADHD)
Communication Skills / Building Partnerships
Self Esteem
Stress Management
Personal Futures Planning (PFP)
Learning Styles
Sibling Issues
Other 

 

Booth Request:
Event:
Date:
Time:
Location:

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Note: We are a non-profit organization; therefore there are no charges for any material requests, workshops, booths, etc.

 

  

KY-SPIN, Inc. is committed to Section 508 compliance and the accessibility of this website. We welcome comments from visitors which may help us improve its accessibility and usability.

KY-SPIN, Inc.
10301-B Deering Rd.
Louisville, KY 40272 
Toll Free: 1-800-525-7746 Phone: (502) 937-6894   Fax: (502) 937-6464
E-mail: spininc@kyspin.com

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