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Request Information

Thank you for your interest in Swift School. Selecting the appropriate school for your child is an extremely important decision and I am delighted that you are considering Swift! We serve students who have been diagnosed with dyslexia or another language-based learning difference. Completing the form below is the first step in learning more about Swift School and its mission. 

Angela Robertson
Director of Admission and Enrollment Management

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip

  • How did you hear about us? 
    *

  • Name of Current School 
    *

  • Type of school 
    *

  • Type of Psychological Evaluation 
    *

  • Name of Psychologist 
    *

  • Student's Diagnosis
    *

  • Does your child have a 504 plan?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Gender *
  • Grade Level of Interest *
    School Year *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •