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School Age Request for Assistance Form

For Non-Public/Private School Age Students within the Eau Claire Area School District

The first step in this process is gathering information about the student.  It is essential that you make every effort to provide detailed information in the request form (below). Please note this is not a request for special education.  This form initiates collaboration and communicates concerns to Eau Claire Area School District staff.

Student's Identifying Information


Student's School Information

Information About Person Submitting Request for Assistance

Information About the Student and the Concerns


Contact Information for Person Submitting this Request

Once you have submitted your request it will be processed, and you will receive a phone call or email from the district consultant.  At that time you will receive follow-up paperwork in the mail.