RRFC Information Request Form

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Information Request

NCRRC Information Request Form

The NCRRC primarily responds to requests from State Education Agencies, Lead Agencies, RRFC staff, and other Centers in the RRFC network.

Tips for filling out your request:

Provide a context for your question.
Avoid jargon or acronyms.
One request per message unless the topics are closely connected.

The items with an asterisk * are required fields.

First Name *
Last Name *
Email Address *
Phone *
Fax
Mailing Address

State/Jurisdiction *
What is your primary role in relation to this request?

Your Request

What are your information needs?

How do you plan to use this information? (check all that apply)*

  To develop or inform policy or legislation
  To provide technical assistance
  To develop training materials
  To address SEA, LEA, or LA reporting requirements
  To obtain information about scientifically-based practices
  To help me know how to address the needs of a child or student
  Other (please explain)

What form of delivery is desired? *
i.e., how do you want us to send you the information?

By what date is the information needed?

Please explain the reason for the deadline?

What sources have you searched already?

Enter verification # *
What is a Verification Number?