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INT General Information Form
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General Information/Inquiry Form

Contact Information:
785.628.4212
eqsmsped@fhsu.edu

Office Hours:
8:00-4:30 M-F
Central Time

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Your Name
Your Address
Phone Number
E-mail
May we contact you?	Yes No
What is the best way to contact you?	Phone Email Mail
What would you like information on?	The Special Education Department Other ESOL
If other, please specify.

Which Course? (i.e. SPED 601)
Description of the Problem.

Please give us your feedback on the website, the classes, or any issue that you might have.

All submissions are sent to the Special Education support helpdesk and are answered as soon as possible in the order that they are received.



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