Summer 2020 Intensive Reading Application Small Group Intensive
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Thank you for your interest in attending the Belser-Parton Literacy Center Summer Literacy Programs! Please complete the information below in order to let us know how to best serve your child. We are offering one session that consists of 10 classes beginning June 2 and ending July 2.  Classes will meet Tuesday and Thursday for 45-minutes each day. One missed class may be made up on the make-up day July 7.  
We have limited spots available this year and will process completed applications in the order in which they are submitted. However, we must group children according to similar needs, so we cannot guarantee placement in any class or your preferred class. We will contact you soon after assessments to provide information about available class options.
Which time works best for you? *
Student Name *
Age *
Birthdate *
MM
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DD
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YYYY
2020-21 Grade Level *
School *
Parent/Guardian Name *
Phone *
Email *
What concerns do you have about your child’s reading?  Please be specific and include any relevant testing information and/or school documentation.  We list some areas, but feel free to add additional information.  What are things your child is interested in and what types of books does he/she enjoy? (ex: animal books, baseball, dancing) *
Reading Level *
Areas of strength *
Areas of concern *
List any additional information you have attached or will be emailing to the Center: *
I understand that: 1) this application does not guarantee my child a space in the program given the need to balance the small groups, 2) no guarantee of progress can be made, 3) payment in full must be made before the first class, and that one missed class may be made up at the assigned time on the make-up day July 7th.  Please enter your full name and date. *
Please select up to 3 times that you would be able to bring your child to the Literacy Center for an informal reading assessment. This is a required part of your child’s application for the Intensive Reading Session so that we can place children in appropriate small groups.  If your child is assessed, attends the classes, and payment is received in full, you will receive the results of the initial assessments and information about progress during the classes at the end of the session.  If assessments are completed but you choose not to attend the sessions, you have the option to pay for a consultation session to review and discuss the results. *
Mon., April 6
Tues., April 7
Thurs., April 9
Mon., April 13
Tues., April 14
Thurs., April 16
Mon. April 20
Tues., April 21
Thurs., April 23
3:30
4:15
5:00
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