Literacy Steps

Student Enrolment Application

Contact Details

Phone: 022 151 1337

Please complete the enrolment form with as much relevant information as possible. The more we understand about your child, the better we can tailor our support and create a personalised tutoring programme that meets their individual needs.

Student details

Child's Full Name

Birthday

Month

Day

Year

Year Level

School / College

Email (if applicable)

Any information you provide will be treated as confidential and used solely to help us understand your child's needs and provide the most appropriate support. Please only include information that you feel is relevant.

School Experience

Please describe your child's experiences at school. This may include what they enjoy, what they find challenging, and any concerns you or the school have identified.

Learning Difficulties

Please outline your child's learning, behavioural, social, emotional, or wellbeing difficulties. Include any diagnoses, concerns, or observations that may help us better understand their needs.

School Supports and Accommodations

Please tell us about any accommodations, interventions, or supports currently in place at school (e.g. teacher aide support, classroom accommodations, Individual Education Plans (IEPs), learning support, assistive technology, or examination accommodations

Previous Tutoring and Specialist Services

Please provide details of any tutoring, interventions, or specialist services your child has previously received. This may include what was tried, how long it was accessed, and whether you felt it was effective.

Behaviour and Self-Regulation

Please share information about your child's self-regulation, behaviour, or emotional wellbeing that may help us support them. For example, their response when learning is difficult, signs of overwhelm, challenges in classroom/home, and triggers.

Family Details

Full Name of Primary Contact

Relationship to Child

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Full Name of Secondary Contact

Phone

Address if different from above

Literacy Steps Services

Please select the services that you require:

Structured Literacy

Structured Math

Other Services required:

Diagnostic Literacy Assessment

Math Assessment

Professional Development

Advocacy at School

Additional Information

Our availability is limited. We will do our best to accommodate you; however, flexibility with tutoring days and times is essential to help us find a suitable session.

Please note that tutoring fees are paid one term in advance to secure your child's place.

Payment of your invoice confirms your acceptance of our Terms of Engagement. A copy of our Terms of Engagement is available on our website.

Yes, I would like to receive news and notifications from Literacy Steps.

Yes, I would like to receive research and educational updates to further my understanding of literacy, teaching, neurodiversity, dyslexia, ADHD, autism, trauma-informed practice, and other evidence-informed educational topics.