This form is for parents of prospective students.

It must be completed before our initial visit.

It should be filled out as completely as possible.

The questions are open-ended and should be answered in anyway you feel appropriate.

Name

First Name

Last Name

Student Name

First Name

Last Name

Student Age

Email Address

What are your goals for your child's education?

How are you involved in their education?

What has been challenging about their education?

What tactics are you currently using?

What tactics have you tried in the past?

How do you think your child learns best?

Is there anything specific you would like me to know about your child?

Is there anything specific you would like me to know about you?

If you have digital copies of relevent completed student work, evaluations or transcripts please email them to me HERE.