Application Checklist
Please prepare the following documents to be uploaded into the online application.
  • Applicant’s Birth Certificate (Child) / ID (Adult)*
  • Existing reports ** (if any) from
    • Psychologist
    • Occupational therapist
    • Speech and language therapist
    • Medical Professional (i.e. Doctor, Psychiatrist)
  • Educational Results / Reports / Samples ***
If you intend to apply for
  • Assessment - Please download the Teacher’s Questionnaire and have it completed before proceeding. Download Here
  • Pre-school - Please download the Preschool Parent's Checklist and Preschool Teacher’s Checklist and have them completed before proceeding. Download Here
  • Speech and Language Therapy - Please download the Speech and Language Checklist and have it completed before proceeding. Download Here

If you require any assistance in completing the online application, you can contact us at 64445700 or info@das.org.sg.

Please note that a non-refundable application fee* of $53.50 (inclusive of 7% GST) will be payable upon completion of the online application. Application will not be processed until payment has been made.

If you are applying for assessments, please kindly note that no refund for assessment fees will be given once our psychologist has commenced the assessment.

Note:

*Applications without a copy of the applicant’s birth certificate or ID will NOT be processed.

** Reports: assessment/therapy reports, referral memos, medical memo or other memos.

*** Report cards, result slips and/or samples of homework

Privacy Policy

Note:

In accordance with the government's policy on the need to protect your personal information, we seek your clear and unambiguous consent for the following.

By making this application,.

  • (a)
    I/we hereby acknowledge and consent to the Dyslexia Association of Singapore (DAS) to:
    • [i] collect, use, and disclose part or all of the personal information collected (including disclosing to DAS affiliated organisations where necessary) and
    • [ii] be contacted via short message service (SMS), phone call, email, and/or mailing address in relation to the service(s) applied for;

    The DAS requires your explicit consent here to process the application.


  • (b)
    I/we acknowledge that if I/we applying an assessment that is paid by the Applicant’s school or other referring agencies, the Applicant’s psychological report will be made available to them upon request.

  • (c)
    *I/we consent to the use of the personal data provided for research purposes;

  • (d)
    **I/we consent to the DAS communicating with professionals/organisations who have or are currently working with the Applicant;

  • (e)
    ***I/we consent to the DAS notifying the Ministry of Education (MOE) if I/we applying to MOE-funded Main Literacy Programme (MLP) and with MOE Funding/Subsidy.

Important:

*You have the right to refuse the usage of the Applicant’s information for research without penalty. Your allowing of the use of the data is completely independent of the Applicant receiving services at the DAS. The research we conduct will help us better improve the teaching of students with learning difficulties.Safeguards will be put in place to protect the privacy of your data. All identifying information you provide will remain confidential and will not be disclosed in any published work (e.g, scientific conference and/or peer-reviewed journal manuscript).

**In order for us to understand the Applicant better, we would appreciate your approval to obtain further information and/or feedback the Applicant’s assessment results to professionals who have/are being consulted regarding your Applicant’s learning and development.

***Please note that if the applicant is placed in MLP and is eligible for MOE funding, the applicant’s name will be given to MOE as a student attending classes in MLP. This is because MOE subsidies eligible students’ fees. If you prefer not to notify MOE, please be aware that the fee for the applicant will be approximately doubled as he/she will not be eligible for the MOE funding.

Submitted by :
All notifications will be sent to the MAIN CONTACT EMAIL.
Services

Please choose service you wish to register

Tooltip:

  • Tooltip:

    This is applicable for applicants in post-secondary education (e.g. ITE/Poly/JC/University).


  • Tooltip:

    This is to assess for an undiagnosed learning difficulty.

  • Tooltip:

    This is for a review of an existing Diagnosis. You can select one or both.

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    Note that a psychological report stating a diagnosis of dyslexia needs to be submitted for enrolment into the MLP. Please be advised that each Applicant is eligible to attend only one MOE-funded programme. Parents are therefore required to inform the DAS if Applicant is attending the School-based Dyslexia Remediation (SDR) programme or if there is an intention to enrol Applicant in SDR as each Applicant is only entitled to attend either the SDR or the MLP.

Note:

#Please note that additional charges (e.g. profiling fee) may be required for some of these programmes/therapies, and that admissions to these programmes/therapies are subjected to selection criteria and/or availability. The responses you have made here are for indication of interest and not official enrollment into the various programmes

Preferred Learning Center
If the Applicant is found suitable for the DAS programme, please state your top three preferred learning centres :

Note :

    Our Learning Centres :
  • Ang Mo Kio
  • Bedok
  • Bishan
  • Chinatown Point
  • Chua Chu Kang
  • Jurong Point
  • Parkway Parade
  • Queenstown
  • Rex House
  • Sengkang
  • Serangoon
  • Tampines
  • Woodlands
  • Yishun
  • (We will try to match your preference but please note that your preferred choice is not guaranteed and is subjected to availability.)

Applicant’s Detail
Document Format: JPG, PNG or PDF (total file size not more than 5MB)

*Address :
Referral Source

Please choose at least one Referral Source

*Where did you hear about the DAS' services?

Main Concerns

Please choose at least one main concern

*What are the main concerns with regard to the Applicant’s development?



Parent(s)/Legal Guardian

Father

*Main Contact Person will be Billed to person

Mother

*Main Contact Person will be Billed to person

Legal Guardian

*Main Contact Person will be Billed to person

Alternate Contact (Optional)

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Please provide an alternate contact in case the main contact person is unreachable.

Siblings

Does applicant have siblings?


Applicant Current Education

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Educational History/Support

Note:

Please list out the Applicant’s education history starting from the most recent


Document Format: JPG, PNG or PDF (total file size not more than 5MB)



SES Chinese programme :




SES Maths programme :


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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week

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Hours per week


Medical and Developmental History/Diagnoses
Additional Comments

Tooltip:

* If you are applying for financial assistance scheme, you will be redirected to the FAS application form after you completed this form. The assessment application will not be processed until the Financial Assistance Scheme application is submitted and processed.

Click here for information of Financial Asistance Scheme (FAS)

Teacher’s Questionnaire/Checklist
Teacher’s Questionnaire,
Upload Hardcopy teacher’s questionnaire (optional) or to bring hardcopy during assessment. 0 File(s) uploaded
Document Format: JPG, PNG or PDF (total file size not more than 5MB)
Preschool Teacher’s and Parent’s Checklist,
Upload Hardcopy preschool teacher’s checklist (optional) or to bring hardcopy during profiling. 0 File(s) uploaded
Document Format: JPG, PNG or PDF (total file size not more than 5MB)
Speech and Language Checklist,
Upload Hardcopy Speech and Language checklist (optional) or to bring hardcopy during profiling. 0 File(s) uploaded
Document Format: JPG, PNG or PDF (total file size not more than 5MB)
Eligibility
*Please provide the text to instruct applicants to print out and sign. Also to select which format, MOE FAS, MOE FASdr or DAS FAS. _Assigned to Gek San Quek_
For Psychological Assessment
  • Applicant must be Singaporean
  • Applicant must be a full-time student
  • Must be between the age of 6 years old to 25 years old
Main Literacy Programme (under MOE subsidised fee)
  • Applicant must be Singaporean
  • Applicant must be a student (Primary 1 to Secondary 5) from a government, government-aided, independent, specialised or specialised independent school
  • Applicant must be diagnosed with Dyslexia
  • Must be enrolled in the DAS - Main Literacy Programme
For Pre-School Programme
  • Applicant must be Singaporean
  • Must be attending Preschools
For All other Specialise Education Programmes and Main Literacy Programme (attending NON MOE schools, eg. Madrasahs, Pathlight)
  • Applicant must be Singaporean
  • Applicant must be Dyslexic
Application Checklist
Supporting Documents / Declarations Required: New Applicant* All unmarried siblings living in the a same household Parents of Applicant Other household members (e.g. grandparents) Other dependent children without NRIC All employed household members Self-employed household members Self-employed household members (if not required to pay tax or latest tax assessment does not reflect current income status) Household members who are unemployed and below age 62 and are not undertaking full-time studies, or are undergoing full-time National Service.
Certificate of Citizenship (if applicable)
Birth Certificate
NRIC (for proof of relationship)
NRIC (for proof of residence)
Legal document to show same household
Latest payslip or employer's letter certifying gross monthly income**
Latest Income Tax Notice of Assessment**
CPF History Transactions for 12 months**
Declaration in Section IV
Declaration on Section V
*Re-applicants do not need to submit the Birth Certificate or Certificate of Citizenship if they had done so in previous applications.
** Applicants may be asked to submit other documents for income verification purposes.
Other relevant documents for the purpose of processing the application should be submitted where applicable, such as:
  • Divorce papers showing child's custody, maintenance or alimony
  • Retrenchment / termination letter / bankruptcy papers
  • Adoption papers or legal documents showing guardianship of applicant
  • Death Certificate
  • Deed poll
  • Statutory declarations
  • Visit passes of dependent grandparents
Applicant’s Particulars
Particulars of Client’s Family Members

Note

Please include details of parents, unmarried siblings and grandparents of the applicant if they are living in the same household.

Other Sources of Income

Please declare below if you receive any other sources of income (e.g. alimony, rental income).