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Theory to Practice Consultation

Please fill out this form, responding to each question, as completely as possible.

A Theory to Practice consultation is a focused consultation or training related to a specific programming topic(s) that may apply to more than one student or more than one teacher.

Person Making Request

Consultation Information

Primary Focus of Consultation

Consultation Participants

Adults

Please indicate who (in addition to the teacher of the visually impaired, orientation and mobility specialist, and/or teacher of the deaf and hard of hearing) will be involved in this consultation:

List of Student(s)

Please list the name and age of each student who will be a part of this consultation and indicate if they have combined vision and hearing loss (deafblindness).

If no students are involved please write NONE in the box below.

We work closely with the Education Service Centers. We will contact your ESC VI or Deafblind Consultants to coordinate training, as appropriate.