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APPLICATION FOR TESTING SERVICES
Students may wish to bring a water bottle to testing.
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Date
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Students Name
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Grade
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1
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5
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Age
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Date of Birth
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Name of your home school
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Teacher
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Parent's name
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Your Email
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Your Phone
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Address
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United States
I am interested in my child receiving the following:
*
Woodcock Johnson III. Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address/email address. $80
Peabody Individual Achievement Test (PIAT-R) Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address. $80
The Wide Range Achievement Test 4 (WRAT) Satisfies all state requirements. Includes: Test, test administration, test scores report mailed directly to your provided address. $65
Instructional and curriculum recommendations consultation based on your child’s strengths & weaknesses as indicated from the End of Grade testing. Consultation includes test scores report and a 30-minute consultation. $40 per student
Academic Knowledge Woodcock Johnson subtest not included in battery. $10 each student
Learning Disability (Learning Difference) Test $835
Reading grade level $40
Phonemic Awareness mastery/deficits $40
Phonics mastery/deficits $40
Sight word mastery/deficits $40
Fluency mastery/deficits $40
Writing grade level. $40
IQ $120
Please enter preferred date and time.
Appointment choice #1
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Appointment choice #3
Other testing
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