Skip to Main Content

Specialist/Qualifer Application

First Name *

Middle Initial

Last Name *

Email *

Company *

Job Title

Phone Number *

Website

Address Line(1)

Address Line(2)

City *

State *

Zip *

Qualifying Criteria (select applicable options) *

I am a tutor.

I evaluate students and diagnose disabilities.

I can verify that a student has a print disability and is eligible for Learning Ally services.