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Contact information
Thank you for reaching out! We look for to connecting and helping you and your student!
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Email
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Students Name
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Parent's Name
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Email
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Phone number and best time to call.
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Which pathway best fits your needs?
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Pathway 1: Child is not receiving special instruction at school (IEP).
Pathway 2: Child is receiving special instruction (IEP), but is not making progress.
Pathway 3: Family does not want to involve the school, or the child is homeschooled, and would like to provide Barton themselves.
Pathway 4: Family does not want to involve the school and would like the child to be tutored from our Tutor Mentor Program
I'm not sure and would like to discuss!
Other:
Please provide any and all information about the student and their struggles. Please include current grade level, if there has been retention, if they have received interventions at school. Do they struggle with reading, writing and spelling?
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What school does your child attend?
[Note here if they are homeschooled]
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How did you hear about Paul's Mountain?
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Do you need financial assistant for the Test of Dyslexia or Structured Literacy tutoring?
(The Test of Dyslexia cost is typically $600 and structured literacy tutoring varies from $40 - $100 per session. For structured literacy to be evidence based, it must be AT LEAST two times per week.)
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Yes, please.
No, thank you.
If you need financial assistance please provide your family size and annual income.
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Is your child currently on an Individualized Education Program ("IEP') or receiving accommodations pursuant to a 504 Plan?
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Yes
No
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What grade if your child in? Please note if the child has been retained.
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