CEPS Request Services
To request services or get further information, please contact Dr. Imad Zaheer, Clinical Specialist, by phone at 973-655-3618 or by email
zaheeri@mail.montclair.edu
.
Alternatively, you can fill out the form below and we will get back to you.
Name:
Family or School?
If family:
Your contact information (email or phone number):
If school:
What school:
What district:
Your position at the school:
Your contact information (email or phone number):
For Families
1. What type of services are you interested in? (Select one)
Behavioral Supports
Academic Supports
Behavioral and Academic Supports
Other (please specify):
For Schools
1. What type of services are you interested in? (Select one)
School consultation
Universal School-Wide Consultation (Tier 1)
Targeted Programs (i.e., Social Skills, Group Interventions; Tier 2)
Intensive Behavioral and Academic Supports for Individual Students (Tier 3)
Other (please specify):
Professional Development
Topic of Professional Development
Other
Other (please specify):