Page 1 of 9

Blooming Adventurers Learner Intake and Placement Profile

Thank you for choosing to continue with Blooming Adventurers.

Please complete this intake form so we can prepare for tutor placement and better understand how your child approaches learning.

Your responses will help us consider your child’s interests, communication needs, scheduling requirements, and the type of tutoring support that may help them participate confidently and make progress.

Please complete one form for each learner.

This form should take approximately 8 to 10 minutes.

Learner Information

Please enter the information exactly as it should appear in your child’s Blooming Adventurers record.

Learner ID

Learner’s Full Name

Name the Learner Prefers to Be Called

Learner’s Age

Learner’s School Year, Grade, or Academic Level

School Curriculum

Country of Residence

Learner’s Time Zone

Language or languages the learner uses most comfortably