Reading Center - Fall 2022 Tutoring Application

During the fall semester, the Schmoker Reading Center provides one-on-one tutoring for students entering 1st through 12th grade. Instruction is designed for students reading one or more years below grade level, whose primary school difficulties involve reading.

There is no charge to apply, however completion of the application does not guarantee acceptance into the upcoming session.

 

Fall SESSION:
Tutoring begins: Early September -- Date to be determined
Tutoring ends: Early December -- Date to be determined
Preference will be given to early applications.

 

Application Form

Student Information
  1.  

  2.      Male
         Female

 

First Parent/Guardian Information
  1.  

 

Second Parent/Guardian Information
  1.  

 

ACADEMIC INFORMATION

Please complete all questions. If you are unsure about any of the information requested, please consult your child's teacher.



  1.      Yes
         No


  2. Scholarships are limited! To be considered for a reduced tuition financial need has to be verified by BOTH your signature and your child's school using this form or the equivalent documentation.

    To be eligible for a financial-based scholarship you must answer the following question:


         Yes
         No



  3.      Yes
         No
         Decline to Answer




  4.      Yes
         No


         Tier 2
         Tier 3
         not applicable










 

PARENTAL CONCERNS



  1.     Yes
        No
        I don't know.

 

Tutorial Options
  1. Monday and Wednesday Option
    Tutoring schedule is from: To be determined
    *Please check 'Yes' or 'No' in each option. 'Yes' means your child is available to attend all days of the session.


         Yes
         No



         Yes
         No


  2. Tuesday and Thursday Option
    Tutoring schedule is from: To be determined
    *Please check 'Yes' or 'No' in each option. 'Yes' means your child is available to attend all days of the session.


         Yes
         No

         Yes
         No




  3.      Our facebook page
         Referred by child's teacher/school
         Our website
         Your School newsletter/website
         Reading center postcard
         Referred from friend/relative
         Other (please specify):
        

*Required Fields


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