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AVKO's Free Curriculum Consultation Request Form
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AVKO Educational Research Foundation
3084 Willard Road
Birch Run, MI 48415-9404

Phone: 810.686.9283
Fax:  810.686.1101
E-mail: Webmaster: webmaster [at] avko [dot] org 

Name:       
 
Phone Number:       
 
E-mail Address:      
 
Curriculum Needed in These Subjects:
 Reading
 Spelling
 Handwriting
 Keyboarding
 Composition

Student Information:
 

Confirmed or Suspected Disabilities/Deficits/Pathologies/Diagnoses:
 Attention Deficit-Hyperactivity Disorder (ADHD)
 Dyslexia (Reading Disorder)
 Dyscalculia (Math Disorder)
 Dysgraphia (Writing Disorder)
 Low IQ
 Mental Retardation (MR)
 Autism
 Asperger's Disorder
 Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS)
 Giftedness
 

I Need a Program That...
is inexpensive
is very quick (per session)
works very quickly (across multiple sessions)
requires little to no preparation work
requires little to no parent/teacher involvement
Other (Please specify):

Additional Info:
 

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