Vertical Skills Academy Inquiry Form
This is a time to become acquainted with one another so you will have a better understanding of who we are and what our program offers and we will get to know you and your child. VSA is a private, 501(c)3 non-profit, day school serving students in grades 1-8. All of our students have typical or above abilities and have been diagnosed with or have data consistent with a language-based learning difference such as Dyslexia.

Contact us at enrollment@verticalskillsacademy.org
Date of inquiry *
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What is your name and relationship to the student who you are inquiring about? *
Your answer
What is your preferred phone number for contact? *
Your answer
What is your preferred email? *
Your answer
What is the name of the child? *
Your answer
What is the grade level of the child? *
Your answer
What city and state does the child reside in? *
Your answer
How did you hear about VSA? referral, internet, event, or other *
Your answer
Are you interested in having your child attend VSA or looking more for outside tutoring services? *
Your answer
If looking at VSA, are you interested in setting a date for a tour? *
If yes, what date works best for a 1-hour tour?
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What time is best for your tour?
Time
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Does this child have a formal diagnosis for Dyslexia or Dysgraphia? *
Please check boxes that may apply to the child. *
Attention Issues
Reading
Writing
Mathematics
Social/Emotional
Giftedness
Other
NA
Row 1
Briefly describe any areas of concern.
Your answer
Please check boxes for any additional service providers for this child. *
Required
Briefly describe service(s)
Your answer
What qualities are you looking for in a school for this child? *
Your answer
Would you be interested in being put in our mailing list for upcoming dyslexia information or community events?
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