UNR education majors tutor elementary students who have difficulties learning to read and write. Children are tutored individually and in small groups with an emphasis on developmental instruction, technology, and providing positive learning experiences.
DATES: JUNE 8 th –JUNE 29 th
PLEASE NOTE THAT THE SUMMER CLL TUTORING PROGRAM FOR OLDER STUDENTS WILL
FOCUS ON SMALL GROUP WORK NOT INDIVIDUAL TUTORING.
Monday-Wednesday 4:15-5:00 p.m.
Student Information
Student’s Name ________________ Date of Birth _____________
Grade: _______ Age: _______ Circle one: (Male Female) School:_____________________________
Has your child attended our tutoring program in the past? Yes No If yes, when? __________________
Family Information:
Name ________________________________________________________________________
Address ____________________________City/State ___________________ Zip____________
Phone # _____________ Email _____________________________
Parent Recommendation: Please describe your child’s reading abilities and needs.
__________________________________________________________________________________________
Teacher Recommendation: Please describe this student’s reading abilities and needs.
DRA Score: _________________________MAP Score: _____________________________________
Teacher Signature_________________________________________Date_____________________________

Attendance Requirements
PLEASE NOTE: Tutoring is conducted at the UNR campus. Families are responsible for transporting their children to and from the UNR campus tutoring site. Attendance is crucial for the success of the program.
More than 3 absences will result in your child being dropped from the tutoring program. No refunds are given for students being dropped from tutoring due to lack of attendance.
Sign here to accept attendance policy _______________________Date________________
_____________________________________________________________________________________________
Payment & Scholarship Information
The tutoring program fee is $75.00 for the summer. The CLL accepts checks and credit cards.
Please indicate your preferred payment method by checking the following:
MasterCard ___ Visa ___ Discover ___ American Express ____Check No.____
The week prior to tutoring you will be informed of your child’s acceptance and asked to provide payment over the phone. Please sign below to indicate that you are willing to pay the $ 75 fee. If your family qualifies for free or reduced lunch you can provide us with a letter to be considered for a scholarship. We accept some students for scholarship.
Signature ____________________________ Printed Name _____________________________Date________
Acceptance Notification
We receive many applications for the tutoring program. Program slots are dependent on the UNR student course enrollment for each semester in order to maintain the one-on-one ratio. If your child is accepted you will receive a welcome packet with additional information, other students will be placed on a waiting list. You may contact Erica Charles if you have any questions: echarles@unr.edu
__________________________________________________________________________________________
For office use only:
Date Received:_________________ Application Complete: __________Payment Received: _________________