Specialist Onboarding Form

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Please fill in requested details, so that we can create a profile for you to share with parents looking for private sessions

Email *

Full Name *

Tell Us About Yourself (~100 words) *

What kind of services do you provide? *

Screening

Assessment

Behaviour Analysis & Support

Counselling

Remedial Instruction

Family Training

Braille Literacy

O&M

Art Therapy

Speech Therapy

Developmental Psychology

Sensory integration

Special Education - STEM

Special Education - Language

Vocational training

Early Intervention

Occupational Therapy

Physiotherapy

Other:

Required

Which of these disabilities do you cater to? *

Vision Impairment (VI)

Blindness

Hearing Impairment or Deafness

Speech Impairment

Autism Spectrum Disorder (ASD)

Attention Deficit Hyperactivity Disorder (ADHD)

Cerebral Palsy (CP)

Intellectual Disability (ID) / Mental Retardation (MR)

Global Developmental Delay

Down Syndrome (DS)

SLD: Dyslexia

SLD: Dysgraphia

SLD: Dyscalculia

Other:

Required

Are you RCI certified? *

Yes

Please specify details of your Qualifications, such as Education and Specialisation *

Please specify your professional experience (in years) *

Please specify details of any institution or brand you are affiliated with

What are the age groups you work with? (Eg: 2-6) *

What languages are you comfortable conducting sessions in? *

How long would each session ideally be? (in minutes) *

What would the cost of each session be? (If you have different session rates by service type, please list them out) *

Please note that we charge 25% of the total earnings from the sessions scheduled via us. This includes payment gateway charges if any. Please price your sessions accordingly.

Your contact number(s)

Do you have experience with conducting online sessions? *

No, None at all

No, But comfortable with it

Yes, Limited experience

Yes, Confident taking online sessions

Other:

What time slots work best for you?

Please select all that apply

Morning (9 AM - 12 PM)

Midday (12 PM - 2 PM)

Afternoon (2 PM - 5 PM)

Evening (5 PM - 8 PM)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have anything else you want to tell or ask us?

Send me a copy of my responses.

Submit

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