Renay Zamloot

Education Advocate

Advocating the rights of students with disabilities and their families

Contact Info

Names of Parents

Address

City, State, Zip

Home, Cell, Work Phone

Fax

E-Mail

Student Info

Child's Name

Date of Birth

Age

Grade

Diagnoses

Classification Category

Provide a detailed description of your child's current educational program and placement

Important Dates

Date of Initial Eligibility

Date of Last Triennial Review

Date of Last IEP Mtg

School District Info

Full Name of School District of Residence

School Name

Case Manager

General Ed Teacher(s)

Special Ed Teacher(s)

Child Study Team Members

Behaviorist

Guidance Counselor

Director of Special Services

Superintendent

Board Attorney

Independent Consultants working with your child

Parental Concerns and Goals

Provide a detailed description of your issues & concerns

Specifically list what you hope to accomplish with my assistance

This website has been designed to provide general information. No information contained on this website constitutes, or is meant to constitute, advice of any kind.

rzamloot@rzeducationadvocate.com

908-730-0080     FAX: 908-730-0063