Academic Support Inquiry Form

Every child's learning journey is unique. Whether you're seeking a deeper understanding of your child's learning profile, support with homeschooling, or individualized academic instruction, we're here to help you explore the right path for your family.

Please complete this brief form so we can learn more about your child, your goals, and how we may be able to support you. Our team will review your responses and follow up regarding an initial consultation.

If you are looking for support for more than one child, please fill out a separate form for each child. If you have any questions, please reach out to [email protected].

1. Parent / Caregiver Information

Full Name

Email Address

Phone Number

Location

2. Child Information

Child's First Name

Age

Current Grade Level

Current Educational Setting

Public

Private

Homeschool

Exploring a change in educational setting

3. Services You're Interested In

Which services are you interested in? Check all that apply.

Assessment & Individualized Learning Plans

Homeschool Partnership & Support

Private Tutoring & Learning Support

Not sure -- I'd like guidance

What type of schedule are you hoping for?

One-time assessment or consultation

1–2 sessions per week

3 or more sessions per week

Flexible/Unsure

4. Understanding Your Child's Learning Needs

What are your child's strengths, interests, or favorite ways to learn?

What are your primary goals or reasons for seeking support?

Is there anything else you'd like us to know about your child's learning experience or support needs?

5. How did you hear about us?

Next Steps. After reviewing your inquiry, our team will reach out to discuss potential next steps and, when appropriate, schedule an initial consultation to learn more about your family's needs.