Legacy Learning Center Application Submission of a current (within three years) and complete battery of psycho-educational testing is a requirement for enrollment in the Legacy Learning Center. Recommendations for testing can be made by the Learning Center staff. Student Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Current Grade*Grade Entered LCA*Other School Attended*Parent Name* First Last Best Contact #*Email TestingFirst Evaluation DateTestingRe-evaluation DateParent Questions - 1. How do you think the Legacy Learning Center would benefit you?*2. What difficulties is your child currently experiencing?*3. What is your child’s overall emotion as it relates to school and learning?*4. List any remedial programs/help in which your child currently participates or has participated in the past (i.e. Alphabet Phonics, Rite Flight, Speech Therapy, tutors, etc)*5. Were these programs and/ or tutors successful? Please explain.*9-12 STUDENT QUESTIONS - 1. How do you think the Legacy Learning Center would benefit you?2. Describe the way your learning difference and/ or ADHD affects you now (such as speaking, listening, note-taking, spelling, reading, and writing compositions, math computations, etc)3. What are things you do well?4. Which academic subjects do you enjoy most or feel you are most successful?5. Which academic subjects are an extra challenge for you?6. What types of activities are you involved in both in and outside of school (including work)? This iframe contains the logic required to handle Ajax powered Gravity Forms.