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Thank you for your interest in working with Wisdom!
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Name
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First Name
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2
Name of Child
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If your child will be receving the services, please give their name. If not, please insert "N/A" in the boxes below.
First Name
Last Name
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Age and grade level of child
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If you are pre-registering more than one child, please complete a separate form. If you are not registering a child, please insert "N/A". Thank you.
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Email
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Phone Number
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Please give the best number to reach you.
Please enter a valid phone number.
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6
Subject Areas
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This field is required.
Please refer to the "Services" page on the website for a detailed description of the services offered.
Reading: Phonemic Awareness, Comprehension and Strategies
Math
College and Career Readiness (CCR)
Homeschool Support
Student Workshops (College and Career Readiness, Social Emotional Learning (SEL), Psychoeducational workshops)
Parent Workshops (College and Career Readiness, Social Emotional Learning (SEL), Psychoeducational workshops)
Professional Development for Educators and Counselors
Other
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7
Please provide Wisdom with any additional information necessary to assist in this screening process.
If you do not have anything you wish to share, please insert "N/A".
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DISCLAIMER
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Please read and click each disclaimer point in the dropdown box, five (5) total.
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Acceptance of registrants (new or returning) and services provided through Wisdom are at the discretion and based on the availability of the Director, Dr. Therese Farmer.
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Acceptance of registrants (new or returning) and services provided through Wisdom are at the discretion and based on the availability of the Director, Dr. Therese Farmer.
I understand that...
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Completion of the pre-registration form is not a guarantee of services or consultation.
Wisdom Educational Consulting Services is the academic component of The L.I.F.E. Program ©2008, a faith-based program and affiliated ministry with the Refuge of Hope Disciple Center (an American Evangelistic Association church ministry). For more information, please visit the "Links" page on the website.
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Please Select
Completion of the pre-registration form is not a guarantee of services or consultation.
Wisdom Educational Consulting Services is the academic component of The L.I.F.E. Program ©2008, a faith-based program and affiliated ministry with the Refuge of Hope Disciple Center (an American Evangelistic Association church ministry). For more information, please visit the "Links" page on the website.
I understand that...
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The academic outcomes provided through Wisdom are not guaranteed but are influenced by the efforts shared through student contribution, parental support, and/or attendee participation.
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The academic outcomes provided through Wisdom are not guaranteed but are influenced by the efforts shared through student contribution, parental support, and/or attendee participation.
I understand that...
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Option 1
Option 2
Option 3
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Please Select
Option 1
Option 2
Option 3
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9
Newsletter
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Wisdom Educational Consulting Services Pre-Registration Form
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