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Aspire Learning Hub
Prospective Student Questionnaire
Student First name
*
Student Last name
*
Parent(s) First and Last name(s)
Parent Email
*
Parent Phone
Student Date of Birth
Year
Month
Month
Day
Grade
Program you are interested in:
Orton-Gillingham Tutoring
Learning Hub Program
Why are you interested in our program (s)?
Has your child attended another school program in the past? What was their experience like?
What are your child's strengths?
What are your child's areas of challenge?
When your child gets frustrated, what does that look like? How do you handle conflicts at home?
What kind of supports help your child?
Are there any aspects of your child's health that we should be aware of (medical, social-emotional, intellectual, physical)?
Has your child had any assessments or diagnoses?
What are your child's activities/hobbies/interests?
Submit
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