Request Information

Let Life Development Institute know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

To be eligible for enrollment, individuals must be-low average to gifted intellectual potential with diagnosis of LD, AD/HD or related disorders such as Autism Spectrum Disorder, high functioning autism, and Non-Verbal LD. Students must also be free from significant psychiatric/behavioral problems that require in-patient therapeutic-type services.

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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