Enriched Learning Collective: Discovery Form

Enriched Learning Collective: Discovery Form

Enriched Learning Collective provides personalized academic support and enrichment designed to help students reach their next level of achievement. We serve high-potential and high-achieving learners who benefit from targeted instruction, meaningful challenge, and personalized learning experiences that strengthen skills, build confidence, and foster long-term academic growth.
Thank you for your interest in Enriched Learning Collective. This form helps us learn more about your child’s academic strengths, goals, and learning needs. Your responses will serve as the foundation for our upcoming consultation, allowing us to make the most of our time together and discuss the support and enrichment opportunities that may be the best fit for your child. Completing this form does not guarantee placement but allows us to review your information and provide personalized recommendations and next steps.
Parent/ Guardian Information
Parent/Guardian

First NameLast Name
Parent/Guardian
example@example.com
Parent/Guardian
Please enter a valid phone number.Format: (000) 000-0000.
City of Residence
Student Information
Student

First NameLast Name
School Setting
Student Grade Level
Please note that Enriched Learning Collective currently serves students in PreK–8th grade. High school services may become available in the future.
Area (s) of Academic Support Requested
How is your child currently performing in this area
Does your child currently have an IEP or 504 Plan
Has your child been identified for any advanced academic programs or specialized learning services? (Select all that apply.)

Other
Learning Goals & Additional Information
What do you and/or your child's teacher(s) identify as your child's greatest academic strengths?
What do you and/or your child's teacher(s) identify as the greatest opportunities for growth or areas where additional support may be beneficial?
(Example: improving confidence, catching up, strengthening skills, preparing for tests)
Is there anything else you would like us to know about your child?
(Learning style, motivation, attention, behavior, etc.)
Preferred Service Format
How did you hear about Enriched Learning Collective?

Other
Enriched Learning Collective respects your privacy. Information submitted through this form will not be shared with third parties.
Please Select all that apply
By submitting this form, I consent to be contacted by Enriched Learning Collective via phone, email, or text regarding tutoring services, programs, and related educational information. I understand that I may opt out of marketing or promotional communications at any time.
Please verify that you are human
Should be Empty:

Enriched Learning Collective: Discovery Form

Parent/ Guardian Information

Student Information

Learning Goals & Additional Information