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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). 

If we do not receive detailed information, an email will direct you to resubmit your request for assistance.

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. At that time you will receive follow-up paperwork in the mail. This paperwork may be sent to you, the person making the request, as well as the child's family.
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