Elaine Le Sueur
elaine@giftededucationservices.co.nz
10 Landon Place, Pukekohe. Auckland 2120
Ph :239 2852  Mob : 027 825 1217

SCHOOL ORDER FORM
Fill in the form online and EMAIL it by clicking ‘Send to Elaine’ at the bottom of the page, OR, print it out, fill it in and post it to me at 10 Landon Place, Pukekohe, Auckland 2120.

* SCHOOL NAME:

* ADDRESS:

* CONTACT PERSON:

* TELEPHONE:

* EMAIL:

SCHOOL REQUEST :

Free school needs assessment

Professional Development 2010 focus on meeting / Professional Development focus on gifted 2011 or beyond

Challenges to support student thinking

Individual student needs analysis /analyses

School based student seminars / workshops

Other  (Please outline your requirement if it is not listed above)

TYPE VERIFICATION IMAGE:

verification image, type it in the box

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