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2150 W. Cherry Lane

Meridian, ID 83642
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208-893-5130

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Student Testing Application

Student Testing Application for Learning Disabilities

Step 1 of 10 - General Information

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  • General Information

  • Please enter a number from 1 to 100.
  • Please enter a number from 1 to 12.
  • Family History

  • Check all that apply.
  • Sibling #1:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #2:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #3:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #4:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #5:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #6:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #7:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #8:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #9:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Sibling #10:

  • Use zero if the child is less than a year old.
    Please enter a number from 0 to 100.
  • Use zero if the child is in preschool or kindergarten.
    Please enter a number from 0 to 12.
  • Medical/Developmental History

  • School History

  • Elementary School

  • Elementary School #2

  • Elementary School #3

  • Elementary School #4

  • Elementary School #5

  • Junior High / Middle School

  • Junior High / Middle School #2

  • Junior High / Middle School #3

  • Junior High / Middle School #4

  • Junior High / Middle School #5

  • High School

  • High School #2

  • High School #3

  • High School #4

  • High School #5

  • Additional Educational Information

  • Please give the approximate day of the testing.
  • Social / Behavioral History

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