Outreach Services

Request Support from Outreach & Literacy Services

Use this form to request a free dyslexia screening, comprehensive literacy assessment, or professional guidance for supporting your child's academic needs.

Namerequired

First Name

Last Name

Email Addressrequired

Phone Number

What grade is your child currently enrolled in?required

*if you are completing this form during the summer, please indicate the grade they left in June

What school is your child currently enrolled in (if public - please include the county)?

What services are you currently interested in discussing?

Dyslexia Screening

IEP Support

Reading Assessment

I'm Not Sure!

If you would like to share any documents in advance of your phone consultation with Jeanine Cyrwus please upload them here.

Attach up to 3 files with a maximum size of 20MB

No file chosen