FORMS FOR SERVICE PROVIDERS / EDUCATORS​

• Application for Initial and Re-Certification (DIGITAL- PREFERRED)

• Application for Initial and Re- Certification (PRINTABLE PDF)

• Parental Consent Form (Digital)

• Parental Consent Form (Printable PDF)

• Request for Technical Assistance/ Coaching/ Training

• Annual Child Count Form

• Optional: Informal Visual Skills Inventory (Functional Vision)

• Optional: Informal Auditory Skills Inventory (Functional Hearing)

• Scholarship Application for Deafblind Service Providers​

• Certified Intervener Scholarship Application