PaTTAN Familes to the MAX




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FAMILIES TO THE MAX: Information Update

Are you ?
One of the benefits you have as a member of the FAMILIES TO THE MAX, Pennsylvania’s Statewide Family Network, is the opportunity to meet and share information with other families across Pennsylvania, based on common interests related to your child(ren)’s education. The Family Network Partners – PaTTAN, PEAL Center, and HUNE, ask that you answer the following questions to help us update our records and respect your privacy wishes. We will not inundate you with lots of correspondence but will forward information we feel will help your family in its journey to support your child(ren) in a way that leads to successful post-school outcomes. If you have any questions or concerns about this information, or at any time wish to change your information or preferences, please contact one of the Partners below. Thank you!
* Last Name:
* First Name:
* Address:
Address 2:
* City:
* State:
* Zip Code:
* Primary Language:
IU #:
                * Phone Number:
Mobile Phone:
Home Phone:
Work Phone:
* Email:
(Write N/A if you do not have an email address)
Roles: (Check all that apply)
Foster Parent
Legal Guardian
Other Family Member


IU Consultant
IU Administrator
School Administrator
Special Ed Teacher
General Ed Teacher
School Counselor
SLP, OT, PT, etc.
Professional Advocate
Community Resource Rep
County/State Agency Rep
                I no longer wish to be a member of this Family Network.
                My child(ren) with a disability is/are currently in the age range(s):
Early Intervention (Birth-5)
5th-8th Grade
High School-21
Over 21
Area(s) of Interest:
Please check all areas that interest you for which you would like notification of trainings or resources.
Presuming Competence - General
Advocating for Your Child
Assistive Technology
Autism Support
Behavior Support
Early Intervention (Birth to Age 5)
Emotional Support
Graduation/Dropout Prevention
Instruction/Curriculum (Math, Reading, etc.)
Intellectual Disability Support
Learning Disability Support
Legal - Federal/State Regulations
Secondary Transition (ages 14-21)
Sensory Impairment (Blind/Low Vision, Deafness, Deaf-blind)
Youth Mental Health
Add Another Area of Interest:
I have experience or expertise in the area(s) of and would like to offer my services to help other families.
I am interested in learning more about local and regional leadership
PaTTAN (Pennsylvania Training and Technical Assistance Network) 1-800-441-3215 or
PEAL (Parent Education and Advocacy Leadership) 1-866-950-1040 or
HUNE (Hispanos Unidos para Niños Excepcionales)
       La linea de asistencia de FAMILIAS A LO MÁXIMO 215-595-5866 or
Or email the Family Network Partnership at:
The contents of this document were developed under a grant from the US Department of Education #H323A170023. However, the contents do not necessarily represent the policy of the US Department of Education and should not assume endorsement by the Federal Government. Project Officer, Susan Weigert.

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