Resolution Meeting Facilitation Request Form

To request a facilitator for an upcoming resolution meeting, please complete and submit the request form.   

In order for facilitation to occur, ODR must have agreement from both parties. Once you have submitted the request form below, please complete and submit the Agreement for a Facilitated Resolution Meeting form.

Resolution Meeting Facilitation Request Form

  • DD slash MM slash YYYY
  • ex: 000-000-0000 or 000-000-0000x000

  • Student Information

  • Date format: MM/DD/YYYY

  • Parent/Guardian Information

  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000

  • Second Parent or Parent not residing with the Student:

  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000
  • ex: 000-000-0000 or 000-000-0000x000

  • For Parent/Guardian Requests

  • Local Education Agency (LEA) Information

  • ex: 000-000-0000 or 000-000-0000x000

  • Resolution Meeting Information

  • date and time
  • If virtual, please include virtual meeting link if known.