Forms
Technical Assistance Form
What is Technical Assistance?
The Project provides technical assistance to families and service providers of children with Deaf-Blindness. Regional outreach Technical Assistants from the ND School for the Deaf and ND Vision Services/School for the Blind provide the support.
Technical Assistance may include:
- Workshops and conferences that target issues related to specific Deaf-Blind areas for parents, families, and professionals
- Consultations in the home to families, at school to educational and related service staff, or by telephone for referral, information, and support
- Assistance in the identification of children and youth who are Deaf-Blind
- Development of new service delivery procedures and strategies that result in systems change
- Information dissemination through the D-B Informer, and books and videotapes from the Resource Library in Devils Lake
- Financial support for participation in training opportunities; and
- Help in building partnerships with parents, families, and the local community.
Topics for Technical Assistance may consist of instructional strategies, early intervention, medical issues, communication, audiology, sign language, orientation and mobility, and transition.
- Technical Assistance Request Form (30kb pdf)
Following the provision of Technical Assistance to families and service providers, we need to evaluate these services. The evaluation will help us gain information regarding the benefits of the services, improve Deaf-Blind services in our state, and be used to report our activities as required by our federal authorities.
- Please take a moment to provide feedback to us.
Census Form
What is the Deaf-Blind Census?
It is the responsibility of the North Dakota Dual Sensory Project to maintain a census of the number of children and youth who are Deaf-Blind. This data is used to help determine funding the State will receive to support Technical Assistance, services, and training. The Census consists of demographic information (i.e., date of birth, gender, home special educational unit) and descriptive information such as cause of Deaf-Blindness of each individual with Dual Sensory impairments between birth and 21 years of age. Currently, there are approximately 40 children on the North Dakota Deaf-Blind Census.
The individuals are served in a variety of home and educational settings across the state. It is essential that children with combined hearing and vision impairments be identified so their unique needs can be met. State and federal agencies track information of the students while they are in school and after graduation.
Anyone, a family member or professional, working with the individual may refer a child by contacting the ND Dual Sensory Project. Our office may be notified at any time during the year when an individual is identified in a school or agency as being eligible for the census or needs to be removed from the census for any reason such as moving, graduation, or reaching age of 22.
- Complete the Census Form (388kb pdf)
Training Form
- Download the Training Request Form (22kb pdf)
