Make a Donation
Login
Register
Home
About Us
Mission & Vision
Staff
Management Committee
Patron Jackie French
Employment Opportunities
Support Speld
Donations
Bequests
Our Partners
Our Generous Sponsors
Publications
Annual Report
Magazine
eNews
General News
Testimonials
Provide Feedback
FAQs
How Can We Help?
Advisory Line
Assessment Service
Student Assessment Information Form
Assistive Technology
Specialist Teacher Service
Search our Specialist Teachers
Request a Specialist Teacher/Tutor
Become a Specialist Teacher/Tutor
Specialist Teacher Information
Online Learning
Shop
Intensive Literacy Programs
Sounds-Write
Learnersaurus
Parent Support Group
Student Workshops
Learning at Home
Apps
Assistive Technology Support
Decodable Readers
Develop Writing Skills
Literacy Support
Mathematics Support
Resources
Library
Learning Differences
Dyslexia
Dysgraphia
Dyscalculia
Dyspraxia
Working Memory
Phonological Processing
Orthographic Processing
Language Disorders
Auditory Processing Disorder
Workshop & Events
Professional Development
Learning Difficulties Conference
Membership
Register
Member Login
Member Benefits
Contact Us
Member Login
Student Assessment Information Form
= Required Fields
Your Details
Student Name
School
Date of Birth
Year Level
Current Learning Support
Place of child in family
Please select your child’s birth order within the family
One (first born)
Two (second born)
Three (third born)
Four (fourth born)
Five (fifth born)
Six (sixth born)
Presenting Problems
Please select from the following areas:
Reading
Spelling
Writing
Comprehension
Maths
Anxiety
Understanding of Spoken Language
Use of Spoken Language
Speech / Articulation
Other
Comments on areas of learning difficulty
Milestones Reached
As expected
Delayed
What areas?
Family history of learning difficulties
Strengths
Please choose the available reports you have
Guidance Officer
Speech Pathologist
Occupational Therapist
Educational Psychologist
Paediatrician
Other Specialist
Audiologist
Behavioural Optometrist
Please rate the level of concern
School's Concern
1 - Low
2
3
4
5 - High
Parent's Concern
1 - Low
2
3
4
5 - High
Does the student have an Individual Education Plan?
Yes
No
Any current medication?
What assistance would you like from SPELD Qld?
Do you hold a current Concession Card?
Yes
No
Are you entitled to claim through NDIS?
Yes
No
Parent / Guardian's Details
Title
Mr
Mrs
Ms
Miss
First Name
Last Name
Address
Suburb
State
Postcode
Email
Contact Telephone Number
Image Verification
Our Generous Sponsors
View All
Our Partners
View All
Secure Payments
©2021 SPELD Qld Inc.
Web Design by NBM
Make a Donation
Login
Register
