Request for Slingerland Screening
This quick online form is the required first step in the screening process for potential KidsQuest students.

KidsQuest is a free tutoring program for Stanislaus County children, grades 2-6, with dyslexia or other specific language disorders.
Child's name *
Your answer
Child's age *
Your answer
Child's current grade level *
Your answer
Name of child's school *
Your answer
Parent/Guardian's full name *
Your answer
Parent/Guardian's email *
Your answer
Parent/Guardian's phone number *
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
Postal code *
Your answer
Please explain any school successes your child may have achieved.
Your answer
Please explain any school challenges your child may have experienced.
Your answer
What are some of your child's strengths?
Your answer
Check all that apply for your child *
Required
If any, what concerns do you have for your child?
Your answer
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