Educational Consultations register interest form

Educational Consultation register interest form
Sometimes it can be difficult to determine what steps to take if your child or student is finding it more challenging to cope with the demands of literacy and numeracy. Our Educational Specialists are available to speak to one on one.

Complete the form below for an Educational Consultation.
Your name

First NameLast Name
Your phone number

Area CodePhone Number
Your email
example@example.com
Your address

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Child's Details
Child's Name (only provide the child's name if you are the parent/carer).

First NameLast Name
Child's Date of Birth (only provide the child's date of birth if you are the parent/carer).

DayMonthYear
Date
School attended
Child's Year Level at School
Please upload a copy of the child's most recent school report.

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NAPLAN or Specialist report.

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Any other document that are relevant to enquiry.

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Any other document that are relevant to enquiry.

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Current concerns / what you'd like to discuss?
Any other comment you wish to add?
How did you learn about SPELD SA?

Other
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Educational Consultation register interest form