Make a Booking Enquiry

Your details

Title

First name

Last name

Email address

Mobile number 1 **

Mobile number 2

Landline number

**Please specify at least one phone number.

Please specify a mobile phone if you’d like to receive SMS notifications.

Street address

City

County

Postcode

For statistical purposes only, please let us know which best describes you:

Beneficiary details

(person receiving the service)

Same details as above

First name

Last name

Date of birth

Age

—

Gender

Male

Female

Non-binary

Prefer not to say

Please provide your main reasons for submitting this Booking Enquiry.
Please note: your Booking Enquiry will not be processed until we have received the relevant completed questionnaires (you will receive a link to these after submitting this Booking Enquiry).
If you have a question that you would like answered before completing the questionnaires, please email us enquiries@helenarkell.org.uk.

What is your ethnic group? (NB: This information will help ensure our services meet the needs of all ethnic groups).

Service options

Service

If you need any help deciding which service you need, please contact us on enquiries@helenarkell.org.uk

Preferred place for the appointment

Assessments and dyslexia support can take place in a range of venues or online, depending on the type of assessment or support required.

Postcode

Please indicate how far you would be willing to travel and whether online support would be of interest to you.

30 miles

50 miles

100 miles

online

Bursary

IMPORTANT NEWS:
We regret that we are currently closed for bursary applications until further notice, due to high volume of enquiries.
The waiting-list for bursary applications will re-open when funding becomes available.
If you are from a low-income household, in receipt of means-tested state benefits or qualifying for pupil premium (free school meals) , you may register your interest, for consideration in the future. If so, please tick the box below and answer the further questions.
When our waiting-list re-opens, we will contact you.
WHEN YOU HAVE REGISTERED YOUR INTEREST, PLEASE BE PATIENT AND WAIT FOR US TO CONTACT YOU, AS OUR TEAM ARE OVERLOADED, PROCESSING EXISTING CLIENTS.
There is no guarantee that registrations of interest will be successful. We apologise for any inconvenience caused.

Would you like to register your interest in a bursary?

Yes

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Make a Booking Enquiry

Your details

Beneficiary details

Service options

Preferred place for the appointment

Bursary

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