Be a part of our Pip School Practitioner closed group!
We welcome you to be a part of our invitation-only group, where you will have an opportunity to invite up to 5 students in grades Pre-K through 1 (ages 5-7) to participate in EarlyBird's program, including access to our instructional app, Pip School. EarlyBird's 4-month program is valued at over $650, and this is an opportunity for you to invite families to participate for free. You will be able to track student progress through weekly reporting and periodic assessments. 

Space is limited, so please complete this application by Wednesday, October 16, 2024 if you are interested in participating. We will confirm your participation via email.

Please follow the prompts to enter your information, and email us at families@earlybirdeducation.com with questions. 

For more information about how EarlyBird works, visit https://earlybirdeducation.com/at-home
First Name *
Last Name *
Your email address *
Your phone number *
What city and state do you live in? *
Best way to reach you: *
Where do you work? *
What is your role at work? *
Please describe your qualifications and any certifications (if any) that you hold related to teaching children to read and/or teaching children with dyslexia. While certifications are not required to participate, we are interested in knowing more about you.  *
Please tell us why you are interested in participating in this program. *
What ages do you work with? Please check all that apply. *
Required
How many clients do you currently have that you believe would be an appropriate fit for EarlyBird? Our current target range is 5-7 years old and grades K-1. We may be able to make an exception for some students falling outside of this range.  *
How did you hear about us? *
By checking the box below, you are confirming that by participating in the EarlyBird practitioner program with your clients, you will be required to commit to 3 months of engagement with EarlyBird, participate in 3 surveys, and participate in one meeting with EarlyBird's team to discuss your feedback on the experience.  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of EarlyBird Education.

Does this form look suspicious? Report

Google Forms