Build Up Michigan

Build Up Michigan is for children ages 3-5. If you are concerned about your child or a child you know who may not be meeting important developmental milestones, complete the Referral Form below to begin the evaluation process. Services are FREE and coordinated through the school district where the family resides-even if the child is not yet attending school.




Build Up Michigan Referral Form
Do you need an interpreter?
Child Information:
MM/DD/YYYY
Child's Race  (required)
Child's Gender
Parent/Legal Guardian Information:
What is your relationship to the child?  (required)
Help for Primary Email Address The majority of communication is via email. By not including an email address, you may miss out on important email communication.
Preferred Contact Method
If you are NOT the parent/guardian making the referral, please list your contact information as follows:
Relationship to the Child
Does the family know you are making a referral?
Security Check - To verify you are not a robot, please answer this question:
 


Contact Us

Michelle Nicholson
Executive Director, Early Childhood Services
Deborah Kerns
Thorburn Education Center