Migrate Account Form

Submit as a company

Company (If applicable) *

First Name *

Last Name *

Address *

Address Line 2

City *

State *

County *

Zip *

Email *

Phone *

Primary Role

Secondary Role

Primary Language

Secondary Language

Which school district does your child attend? If your county does not appear below please leave blank.

Crook County School Districts

Deschutes County School District

Grant County

Harney County

Jefferson County

Klamath County

Lake County

Wheeler County

While the demographic information that you provide is voluntary, the funding sources that support CODSN's work request data periodically.

This information is anonymous.

Ethnic/Racial Identity

Please share more information so that we are able to help you in the future.

Child / Children With A Disability is / Are A Recipient Of

1st Child w/Disability Name

1st Child's Year of Birth

1st w/Disability Ethnic/Racial Identity

Child 1 w/Disability Primary Disability Diagnosis

Child 1 w/Disability Primary School Eligibility

Child 2 w/Disability Name

2nd Child's Year of Birth If Day and Month Are Unknown

Child 2 w/Disability Ethnic/Racial Identity

Child 2 w/Disability Primary Disability Diagnosis

Child 2 w/Disability Primary School Eligability

How did you hear about CODSN

Job Title