Getting Started: My Literacy Teacher
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Email *
Student Name *
Parent/Guardian Name *
Contact Number *
Contact email *
Date of Birth *
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Main Areas of Support *
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Briefly describe any additional notes about the students needs (we will talk more during the consultation) *
Does the student have any diagnosed Learning Disabilities? (If yes, please type it in "other")
Best time for tutoring *
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Pick a Consultation time (weekdays).  *
Time
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