Current Grade*
Kindergarten Grades 1–12 Ungraded Other
Does the student currently have an IEP?*
Yes No
Current IEP Classification
Autism Emotional Disability Intellectual Disability Learning Disability Multiple Disabilities Other Health Impairment Speech or Language Impairment Other Unsure
Current Placement Type*
NYC Public School Charter School Private School Approved Nonpublic School Home Instruction/Homeschool Not Currently Enrolled Other
Please tell us more about what you are seeking in a new school program (Optional)
Share current IEP or evaluation securely?
No Yes
Is your family represented by an attorney/advocate?
No Yes
May Foundry 8:1:3 contact your attorney or advocate?
No Yes
Relationship to Student*
Mother Father Legal Guardian Foster Parent Other
Preferred Method of Contact*
Phone Email Text Message
Best Time to Contact You (Optional)
Morning Afternoon Evening
How did you hear about Foundry 8:1:3? (Optional)
Current or Former Family Attorney or Educational Advocate School or Provider Online Search Social Media Community Event Other
Additional Placement Information (Optional)