Spring 2024 America Reads Child Application
Please fill out the following information to submit your application for the America Reads Program. You will be notified in late January or early February of your child's tutoring session days, times, and will also receive a finalized calendar for the fall semester. Tutoring will start February 5th and end April 30th.

A new application must be completed for each student you wish to receive tutoring services.

Thank you for applying to the America Reads Tutoring Program at Bradley University!
Email *
Email address *
Child's First Name *
Child's Last Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
School Attending *
Grade (must be in K-8th grade) *
School District *
Parent/Guardian's Name *
Home Phone Number
A working phone number is required for parents/guardians. Phone number can be for either Home Phone or Cell Phone.
Cell Phone Number
A working phone number is required for parents/guardians. Phone number can be for either Home Phone or Cell Phone.
Address (Street, City, State, Zip Code) *
Emergency Contact Name (must be different from Parent/Guardian information) *
Emergency Contact Phone Number (must be different from Parent/Guardian information) *
Parent/Guardian associated with Bradley University? If yes, how? (staff, faculty, student, etc.) *
Are there any areas of reading on which you would like the tutor to particularly focus? (spelling, phonics, oral reading, comprehension, etc.) *
Are there any other special needs the tutor should consider?
How many sessions a week do you prefer? *
Please indicate which sessions (day/time) you prefer. (limit to 3 sessions per week)
*These days and times are not guaranteed*
Note: No more than one (1) session per day.
Monday
Tuesday
Wednesday
Thursday
4:30-5:15 pm
5:30-6:15 pm
6:30-7:15 pm
Did your student work with a specific tutor in the past? If so, please write the tutor's name below.
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