Summer 2015 tutoring application

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UNR Center for Learning and Literacy
Summer Camp Application
UNR education majors tutor students in grades K-5 who have difficulties learning to read and
write. The two week summer camp will focus on literacy and provide two hours of whole group
literacy activities and one hour of individual one-on-one tutoring. Each week will highlight a theme
and students will work on literacy skills using digital storytelling, reading, and writing.
The camp will be led by Julie Pennington, Ph.D. and Mary Czerwinsky, M.Ed. UNR student tutors
will provide tutoring support for individual students.
.
July 20th through July 31st
Mondays through Fridays, 9:00 a.m. to 12:00 p.m.
*** Please be aware registration is subject to close on any date when registration becomes too full.
Please check the website for updates. ***
Student Information
Student’s Name
________________ Date of Birth _____________
Grade: _______ Age: _______ Circle one: (Male Female)
Family Information:
Name ________________________________________________________________________
Address ____________________________City/State ___________________ Zip____________
Home # _____________Cell # _________________ Email _____________________________
Parent Recommendation: Please describe your child’s reading abilities and needs.
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. No refunds are available.
Sign here to accept attendance policy ____________________________________Date_______________________
_____________________________________________________________________________________________
Payment Information
The tutoring program fee is $600.00 for 2 weeks. Please indicate your payment by completing the following:
MasterCard ___ Visa ___ Discover ___ American Express ____Check No.____
Check or Card Number______________________________________________ Card Expiration Date_______
Signature ____________________________ Printed Name _____________________________Date________
Acceptance Notification
We receive many applications for the tutoring program. Program slots are dependent on the tutoring course enrollment
for each semester. 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 Julie Pennington if you have any questions: juliep@unr.edu.
Email or mail the completed application to:
juliep@unr.edu
OR
Return to the Center for Learning & Literacy in the UNR College of Education Room 3050 in Julie Pennington’s
mailbox.
No Scholarships will be available for the summer camp.
__________________________________________________________________________________________
For office use only:
Date Received:_________________ Application Complete: __________Payment Received: _________________
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