Inquiry Form

Name of person completing form:

How did you learn of The College School?

Student’s Name

Student's Date of Birth

Parent(s) Name(s)

Mailing Address

City State Zip

E-mail Address

Please provide a phone number where you would like us to reach you:

Phone:

Home Work Cell

When is the best time to reach you?

Student's Current School:

Current Grade:

Does your child have an I.E.P.?

Yes No

Does your child have any testing?

Yes No

If Yes, what kind of testing has been done, by whom, and when?

What diagnoses, if any, have been offered?

What services does your child receive at school?

What services does your child receive outside of school?

Please list the names of any professionals with whom your child is working:

Please list areas both in and out of school in which your child has enjoyed success:

Please list areas both in and outside of school in which your child has struggled:

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