Hello and welcome to the Fueling Brains Education Services PUF/MM/EAL application!

Please make sure you have all the required documents and information ready before starting. Remember, both parts of the application must be completed before processing can begin.
If you already created an application, please fill in the same information below as your original application and you will be taken directly to it.

Consent for PUF/MM/ELL Eligibility and Screening/Assessment

At FB Education Services, our screening process helps identify areas of concern based on parent/guardian observations. Screenings may assess language, motor skills, and social-emotional development and can include additional observations of the child within their learning environment. The results are straightforward and will indicate either a pass or the need for further assessment.

This form serves as your consent for both the initial screening and, if indicated, any additional comprehensive assessments, which may cover areas such as speech or language, fine or gross motor skills, and social-emotional development. You will be contacted based on the results of the assessment, regardless of the outcome. If your child passes the screeners and no further assessment is needed, we will also reach out to inform you.

Do you wish to continue?*
- Yes
- No

Screening and Assessment Consent

By continuing, you are giving consent for your child to be screened and assessed by a member of our team, as needed.

Please note, this entire process is provided at no cost to parents and is funded by Alberta Education's Program Unit Funding PUF, Mild Moderate M/M, or English as an Additional Language EAL funding.

To be eligible for funding through Alberta Education's PUF, M/M, or EAL programs, the child must be at least 2 years and 8 months old 2.8 years old) on or before August 31, 2025. If the child does not meet this age requirement, they may not qualify for these funding programs at this time.

If you have any questions about age requirements or eligibility, please email edservices@fuelingbrains.com, and a team member will get back to you.

I hereby grant permission for my child to undergo screening by the Fueling Brains Educational Services team*
- Yes
- No

Please ensure that the child's name is written exactly as it appears on their birth certificate or passport.

Student's Legal First Name*
Legal Middle Name
Legal Last Name*

To be eligible for funding through Alberta Education's Program Unit Funding (PUF), Mild/Moderate (M/M), or English as an Additional Language (EAL) programs, the child must be at least 2 years and 8 months old (2.8 years) by August 31, 2025. If the child does not meet this age requirement, they may not qualify for these funding programs.

Date of Birth*
Based on the birthdate entered, your child does not meet the age requirement (2 years 8 months by Aug 31, 2025) for Alberta Education funding programs (PUF/M/M/EAL) this school year. You may still proceed with completing the screening form. For questions regarding eligibility, please contact us at edservices@fuelingbrains.com.
Date of Birth is over the current date.
Gender*
- F - Female
- M - Male
- U - Unknown
- X - Unspecified
Parent / Guardian First Name*
Parent / Guardian Last Name*
Parent / Guardian Email*
Phone Number*

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Hello and welcome to the Fueling Brains Education Services PUF/MM/EAL application!

Consent for PUF/MM/ELL Eligibility and Screening/Assessment

Screening and Assessment Consent

By continuing, you are giving consent for your child to be screened and assessed by a member of our team, as needed.