Complete the Parent / Child Support Registration Form Below. Please complete this form if you are a parent seeking education support for your child through Inclusion Bridge.The information you provide will help us understand the type of support you are looking for and identify whether suitable LSA, TA, shadow teacher or education support professional profiles may be available.Please note that Inclusion Bridge does not provide clinical diagnosis, therapy, medical advice, direct subject tutoring, homework support or exam preparation. Our role is to support parent guidance, candidate matching and quality assurance of education support arrangements.Parent / Guardian DetailsParent / Guardian Full Name * Relationship to Child * —Please choose an option—MotherFatherGuardianOtherIf Other, Please Specify Email Address * Mobile / WhatsApp Number * Current Location / Area in Dubai or UAE * Preferred Contact Method *EmailWhatsAppPhone callBest time to contact you Child DetailsChild’s First Name * Child’s Age * Child’s Year Group / Grade * Current School / Nursery Name Curriculum —Please choose an option—BritishIBAmericanIndianUAE MOEOtherNot applicableIs your child currently attending school in the UAE?YesNoStarting soonType of Support RequiredWhat type of support are you looking for? *Select options... ▼Learning Support AssistantTeaching AssistantShadow TeacherEducation Support ProfessionalSupport at schoolSupport at homeSupport during transition to schoolParent guidance onlyNot sure yetWhen do you need support to start? * —Please choose an option—ImmediatelyWithin 2 weeksWithin 1 monthNext termNext academic yearNot sure yetChild’s General Support NeedsPlease describe why you are looking for education support for your child * Which areas does your child need support with? *Select options... ▼Classroom routinesAttention and focusCommunication and interactionSocial interactionBehaviour supportEmotional regulationIndependenceOrganisationFollowing instructionsReading accessWriting accessBasic numeracy accessTransition between activitiesConfidence and engagementPersonal care supportNot sure yetOtherIf Other Areas, Please Specify Does your child have any identified additional needs?Select options... ▼AutismADHDSpeech, language and communication needsDyslexiaLearning delaySocial, emotional and mental health needsPhysical disabilitySensory needsEAL / English as an additional languageStudent of determinationNo formal identificationCurrently under assessmentPrefer not to sayOtherIf Other Needs, Please Specify Please provide any additional information about your child’s support needs School and Professional InformationHas the school recommended LSA/TA or shadow teacher support? *YesNoNot sureNot applicableDoes your child have an IEP, support plan or school learning plan?YesNoIn progressNot sureHas your child received any external assessment or professional report?YesNoIn progressPrefer not to sayWould you be willing to share relevant school or professional documents later for matching purposes?YesNoI would like to discuss firstIf Yes, please briefly explain what the school has recommended If comfortable, please list any professional reports available Candidate PreferencesDo you have any preference for the support professional?Select options... ▼Previous LSA/TA experienceSchool experienceSEND experienceAutism experienceADHD experienceBehaviour support experienceCommunication support experienceFemale candidateMale candidateArabic-speakingEnglish-speakingOther language preferenceNo preferencePreferred Language Skills Location and Practical ArrangementsSchool / Home Area for Support * Parent ExpectationsWhat are your main expectations from the LSA/TA or shadow teacher? * What qualities are most important to you in a support professional?Select options... ▼Kind and patientReliableExperiencedCalmGood communicationStrong safeguarding awarenessGood with behaviour supportGood with communication needsFlexibleProfessionalAble to follow school guidanceAble to promote independenceOtherIf Other Qualities, Please Specify Is there anything the candidate must know before being introduced? Documents UploadUpload any relevant document, if available (You may upload a school support plan, IEP, professional report or relevant document if you feel it will help us understand the support required. This is optional.) Upload School Recommendation, if available Upload any other supporting information Declarations and ConsentAccuracy Declaration: I confirm that the information provided is accurate to the best of my knowledge. Parent Responsibility Declaration: I understand that Inclusion Bridge provides parent guidance, candidate matching and quality assurance support, but does not provide clinical diagnosis, therapy, medical advice or direct subject tutoring. Matching Declaration: I understand that Inclusion Bridge may suggest suitable candidate profiles, but final selection decisions rest with me, the school or the relevant third party. Employment / Payment Declaration: I understand that any employment, payment or contractual arrangement will be managed directly between the parent, school or relevant third party and the candidate, subject to applicable laws, school requirements and regulatory approvals. Data Consent: I consent to Inclusion Bridge storing and using the information provided for parent enquiry, child support registration, candidate matching and quality assurance purposes. Profile Sharing Consent: I consent to Inclusion Bridge sharing relevant information with suitable candidate(s), parent-approved school contacts or relevant parties where necessary for matching and support arrangements. Safeguarding Declaration: I understand that safeguarding and child wellbeing are central to Inclusion Bridge’s service model and agree to share any relevant safeguarding or support concerns appropriately.SUBMIT CHILD REGISTRATION FORM
