Spring Valley School

Welcome

indicates required fields

Welcome to Spring Valley School We are glad that you would like to learn about Spring Valley School! We look forward to meeting you and your student.

About the Student

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

For the Fall of

Student Eligibility

Spring Valley School admits students with average to superior intelligence who have been diagnosed with learning differences such as Dyslexia, Dysgraphia, Dyscalculia, and AD/HD (Attention-Deficit/Hyperactivity Disorder).

Does the student have an Individual Education Plan (IEP)?

Thank you for your consideration of Spring Valley School. At this time your student does not meet eligibility for our specialized programing for students with specific learning disabilities, dyslexia, dysgraphia, dyscalculia, or AD/HD.

Has the applicant been diagnosed with a Specific Learning Disability and/or ADHD

Yes No

Which learning disability? (Select all that apply)

Dyslexia

Dysgraphia

Dyscalculia

ADHD

Other

Other:

Student's Current School Information

School Status

Current School

School Name

Please specify school name:

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone (xxx-xxx-xxxx)

Type

Number

SMS Opt In By selecting yes, you are agreeing to receive SMS text messages from Spring Valley School. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1833-936-2174.

Yes No

Secondary Phone (xxx-xxx-xxxx)

Type

Number

Yes No

Mailing Address

Broadening Horizons

Interests

Art

Drama

Tennis

Track

Leadership

Fishing

Service Club

Thanks for reaching out! Out of curiosity...

How did you hear about Spring Valley School?

Please specify