APH Online Zero Registration Form

SPECIAL EDUCATION SERVICE AGENCY
ANNUAL REGISTRATION OF VISUALLY IMPAIRED STUDENTS

AGENCY/DISTRICT ADVISEMENT OF ZERO REGISTRATION

ATTN: Anne Freitag, Ex-Officio Trustee-Alaska

Please be informed our school district/agency does not have any visually impaired students enrolled at this time.

District, School or Agency Name
Please enter your District, School or Agency name.
Signature
Please enter your name. This will act as your signature.
Job Title
Please enter your job title (superintendent, special education director, etc.).