Horn Of Africa Services 2020-21 After School Virtual Tutoring Program Students Application Form
Our After-School Program (ASP) is committed to providing quality after school tutoring and programming to East African Refugee and Immigrant students who are living in the Greater Seattle area. Bilingual and culturally appropriate staff and curriculum seek to close the achievement gap for East African students, improve literacy and math outcomes, have students continue on to higher levels of education, and involve parents and families in their children’s education. Year-round, we serve an average of 100 students between grades K-12 at two program sites: at New Holly and Rainier Vista. If you are interested, please complete this form.

THE PROGRAM IS MONDAY-THURSDAY 4:30PM-6:30PM.


To inquire about volunteering for HOAS tutoring program please complete this form https://forms.gle/DJuMCpwfzJXHRC2e6
登入 Google 即可儲存進度。瞭解詳情
Child's full Name (First and Last Name) *
Student’s Date of Birth *
MM
/
DD
/
YYYY
Grade *
Gender *
Email Address *
Family Ethnicity *
Language/(s) Spoken at Home *
必填
Name of Parent(s)/Guardian(s) *
Phone Number *
Single Parent Home? *
Photo Release: I hereby grant to HOAS and to its employees and agents the right to take and publish my child’s photograph, video, or voice recordings, or likeness/appearance, with or without their name, in any medium or format, for the promotional and educational purposes of Horn of Africa Services and its affiliates such as donors. I hereby release Horn of Africa Services from all claims and demands that I may have arising out of or in connection with the exercise of the rights authorized hereunder. *
Mailing Address *
Annual Household Income *
Emergency Contact Information (Full Name, Phone Number, Relationship) *
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 Horn of Africa Services 中建立。 檢舉濫用情形
Google 表單