Educational Advocacy & School Meeting Support

Educational Advocacy & School Meeting Support — Devin Butler, Psy.S., NCSP

Choose your request type, share student and plan details, and submit meeting information for each school meeting you want support with.
Which service instance are you requesting?
Services are charged by service instance, not by the hour. Initial Advocacy Preparation is one $200 instance. Each separate IEP, 504, eligibility, reevaluation, manifestation determination, parent conference, or other school meeting is one $200 instance regardless of meeting length. A continuation or reconvened meeting held separately is a new instance.
Advocacy status
Client & Student Information
Parent/Caregiver Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Full Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
School Name
School District
Student Records, Supports, and Goals
Current Plan or Status
Diagnoses, Evaluations, and Current Supports
Main Concerns, Family Priorities, and Desired Outcomes
Additional Narrative Details
Document Uploads
Current IEP or 504 Plan

Cancelof
Most Recent Evaluation

Cancelof
Progress Reports

Cancelof
Draft Documents

Cancelof
Meeting Notice

Cancelof
Other Relevant Records

Cancelof
Meeting Details & Scheduling
Meeting Type
Attendance preference
Scheduled Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Start Time

Hour Minutes

AM/PM Option
Expected Meeting Format
School or Location
Virtual Meeting Link
School Contact
Known Participants
I understand the initial preparation service instance is $200 and is required before Devin attends my first school meeting.
I understand each separate school meeting is a $200 service instance regardless of meeting length.
I understand a continuation or reconvened meeting held separately is another $200 service instance.
I understand I must submit this form for every meeting for which I request advocacy support.
I understand payment through Zelle is required to confirm each accepted service instance.
I understand submitting this request or sending payment does not guarantee attendance until Devin confirms availability.
I understand same-day and last-minute requests are welcome but depend on availability.
I understand in-person attendance depends on location, travel feasibility, and availability; virtual or phone attendance may be offered instead.
I understand this is non-attorney educational advocacy and not legal advice, legal representation, therapy, or emergency/crisis response.
Permission to review educational records and serve as educational advocate
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Meeting Purpose
Issues to Address
Last-Minute or Same-Day Request
Accessibility, Language, or Communication Needs
Additional Information & Consent
Additional information or context for Devin Butler
Should be Empty:

Educational Advocacy & School Meeting Support — Devin Butler, Psy.S., NCSP

Client & Student Information

Student Records, Supports, and Goals

Document Uploads

Meeting Details & Scheduling

Additional Information & Consent