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Volunteer Educational Surrogate Parent Program (SPP)

boy playing baseball Would you like to make a difference in the life of a child with disability?
Volunteer Educational Surrogate Parents are urgently needed. Children with disabilities have a right to be represented by a parent in the special education process. Surrogate Parents represent the educational needs of children with disabilities who are wards of the state, or whose parents are unknown or cannot be located. The sole responsibility of the Surrogate Parent is to represent the assigned child in making special education decisions. Surrogate parents are not responsible for any financial costs or direct care of the child.

Who is eligible to become a Surrogate Parent?

Volunteers do not need a degree or professional background

What is the role of the Surrogate Parent?
Surrogate parents have the same rights in the special education process as parents or legal guardians. They:

How will I benefit from the program?
Parents of children with disabilities have found the training and experience helpful in advocating for their own children. Educators and other professionals have had the opportunity to experience the parent perspective of the special education process. Surrogate Parents have reported that they have a great sense of accomplishment and satisfaction in their ability to help children with disabilities.

How do I become a Surrogate Parent?

If you would like to become a Surrogate Parent just complete the following application and then hit the Submit Form button at the bottom of the application.

Surrogate Parent Application

Your Name:
Street Address:
City:
State:
Zip:
Telephone (Home):
Telephone (Work):
Telephone (Other):
E-Mail Address:
Date of Birth:
Citizen of US? Yes No
Other Languages:
Reason for Applying:
Occupation:
Responsibilities:
Employer's Name:
Employer's Street Address:
Employer's City:
Employer's State:
Employer's Zip:
Are you a foster parent? Yes No
Do you have child(ren) with disabilities? Yes No
If yes, please describe the disability(s):

If you have any experiences with children or youth, including special interests, organizations, affiliations, please describe:

Please describe any experiences you have with students with disabilities or educational systems which will assist you as an educational surrogate parent:

Please describe why you would like to be a surrogate parent:

Please indicate all possible times you would be available to attend training:

Weekdays: daytime evenings
All day Staurday: Any days(s) you could not attend:

Please list four references (other than relatives). Include complete addresses, as your application cannot be processed without them.

First Reference
Name:
Relationship:
Street Address:
City:
State:
Zip:
Telephone:
E-Mail Address:

Second Reference
Name:
Relationship:
Street Address:
City:
State:
Zip:
Telephone:
E-Mail Address:

Third Reference
Name:
Relationship:
Street Address:
City:
State:
Zip:
Telephone:
E-Mail Address:

Fourth Reference
Name:
Relationship:
Street Address:
City:
State:
Zip:
Telephone:
E-Mail Address:


This page has had visitors since January 10, 2004
This page was last updated on February 15, 2004 by Ted Bergeron
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