Start a conversation. Build a pathway.

A first step for educators and community professionals exploring educational support.

Connect learning.
Strengthen opportunity.

Share the learning goal

Send your professional contact details and general support needs.

Discuss a pathway

KEW reviews current availability and next steps with you.

Coordinate thoughtfully

Confirm the appropriate process before sharing student information.

A thoughtful first step

Share your professional contact details and general learning goals. KEW will discuss current availability and the next steps for a suitable referral.

Please keep student names, medical information, educational records, and other confidential information out of this initial form.

Start a conversation about educational support. This form is for educator contact and general learning goals, not student records.

Referring educator / staff member

First

Last

School or organization email

Phone number

School / referring organization

Your role

Learner grade range

General learning goals and reason for inquiry

Use general information only. Do not include a student’s name, date of birth, medical history, disciplinary records, IEP, or other confidential documents.

Preferred contact time

Family / guardian involvement

Acknowledgment

I understand this is an initial inquiry. KEW will discuss eligibility, availability, and an appropriate referral process before requesting student information.

Permission to contact

KEW may contact me about this referral inquiry.