Executive Functioning Program Application Form Logo
  • Application for Executive Functioning Program

    Application for Executive Functioning Program

    To apply for this LDAO-C program please fully complete form below. This information will be kept strictly confidential, and will only be shared with our staff and program facilitators/volunteers.
  • Executive Function is the management system of the brain. It includes skills such as working memory, flexible thinking, and impulse control. Many students with learning disabilities have poor executive functioning skills as a result might struggle  with goal setting, making a plan, and getting things done. Focusing, following directions, and controlling their emotions can also be a challenge. 


    Our 8-week program is offered  in a small-group setting. Students will have the opportunity to set goals for themselves, and learn the skills they need to successfully complete school assignments and projects. 

     

    Dates and Times: Thursdays from 6:30 - 7:30 pm, starting January 16 

    Location: LDAO-C Learning Centre (1547 Merivale Road, Suite 450)

    Skill Development and Practice Areas: organization, study skills, motivation, planning

    Cost: $250.00

    Email jade@ldaottawa.com for more info

  • Parent/Guardian Contact and Membership Information

  • Child Information

  • Student Profile

    Please provide as much detailed information as possible to assist with screening.
  • Academic Level

    MUST provide grade level of performance; if unsure ask child's teacher
  • Waivers and Conditions of Enrollment in Executive Functioning Program:

  • 1. The parent or guardian of the above-named participant, releases the LDAO-C, its directors, staff, agents and members from any loss, personal injury, accident, misfortune or damage to the above-named or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above-named participant.

    2. For the program to be effective and out of respect for volunteers we ask families to commit to attending each session of the program they register for. If you will be unable to attend a session, you must inform program facilitator with as much notice as possible.

    3. For the safety of the volunteer staff and other participants, the LDAO-C has the right and responsibility to take actions such as phone calls home and possible dismissal from program if a child exhibits continual inappropriate behaviour.

  • Should be Empty: