Expression of Interest 1About Your Child2Upload Evidence3Student Details4Carer Details What are your child's interests?(Required)What challenges does your child have and how do they manage them?(Required)Why do you think Tombolo would be a good fit for your child?(Required) Cognitive Ability Documents(Required) Psychologists' Report WISC Other Select option, and choose files for uploadCognitive Ability Documents(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, heic, Max. file size: 20 MB. Acheivement test(s), if applicable WIAT-III Australian Maths Competition PAT Reading Comprehension PAT Math’s Other Select option, and choose files for uploadAcheivement test(s), if applicable Drop files here or Select files Accepted file types: jpg, png, pdf, gif, heic, jpeg, Max. file size: 20 MB. Current School Report(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, heic, Max. file size: 20 MB. Most recent NAPLAN, if applicable Drop files here or Select files Accepted file types: jpg, png, pdf, gif, heic, , jpeg, Max. file size: 20 MB. Other Supporting Documentation Drop files here or Select files Accepted file types: jpg, png, pdf, gif, heic, , jpeg, Max. file size: 20 MB. Student Name(Required) First Last Current School Year (optional)Choose Current Scool YearYear 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Date Of Birth(Required) DD slash MM slash YYYY Current School(Required) What medications (if any) does your child take?(Required) Allied Health Providers(Required)Which Allied Health providers (Psychologists, Speech Therapists, Occupational Therapists) are you currently linked with? Psychologist Speech Therapist Physiotherapist Occupational Therapist Other None PsychologistSpeech TherapistPhysiotherapistOccupational TherapistOther Primary Parent/Guardian Name(Required) First Last Primary Parent/Guardian Email(Required) Primary Parent/Guardian Phone(Required)Secondary GuardianSecondary Parent/Guardian Name First Last Secondary Parent/Guardian Email Secondary Parent/Guardian PhoneCommentsThis field is for validation purposes and should be left unchanged.