Clinic Application - The College of Saint Rose

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Joy S. Emery
Educational and Clinical Services Center
The College of Saint Rose
432 Western Avenue
Albany, NY 12203
Phone: (518)337-4914 Fax: (518)337-2313
Explanation of Service
The Literacy Clinic is a part of the graduate Literacy Program at the College of St.
Rose. Individual tutoring is provided by graduate students under the supervision of
a college professor. The tutoring takes place within the college schedule. The
tutoring sessions take place in the afternoon on Mondays and Wednesdays or
Tuesdays and Thursdays, and in the morning on Saturdays. At the final session,
tutors meet with parents to share information about the child’s progress.
Application Process
A completed application must be received for all children interested in
participating in the program. Applications must be filled out by parent and teacher
and signed by both. Applications are dated when received, and the child is
scheduled for an evaluation, which determines eligibility for the tutoring program.
Following the evaluation, the child is placed on an eligibility list, and parents are
called when there is an opening for tutoring.
Enrollment Process
The current cost per semester is $50.00, which is payable at the first class session.
A parking pass for the College parking lots will be provided to each family. At the
time of enrollment, consent forms need to be signed by parents or guardians.
General Information
Generally, the Literacy Clinic follows the calendars for the College of St. Rose. In
case of inclement weather, the clinic is closed if Albany City School District is
closed.
If a child is not able to attend a session, please call the Literacy Clinic (518) 3374914, so that the tutor will know. Sessions cancelled by the family are not
rescheduled. If a session is cancelled by a tutor or by the Literacy Clinic, the
session will be rescheduled.
Thank you for your interest in the Literacy Clinic at the College of St. Rose.
Joy S. Emery
Educational and Clinical Services Center
The College of Saint Rose
432 Western Avenue
Albany, NY 12203
Phone: (518)337-4914 Fax: (518)337-2313
Application
Date
_______________________________________
Name of Student/Client _______________________________________
Address
_________________________________________________
_________________________________________________
Telephone Numbers
Home ________________________
Work_________________________
Cell__________________________
Grade in School of Student/Client
___________________
Name of Teacher ___________________________________
Name of School ____________________________________________
Address
____________________________________________
Telephone Number of School____________________________________
Child’s Instructional Reading Level
_______________
Please describe area(s) of difficulty in which child is experiencing difficulty.
________________________________________________________________
________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_____________________________
Teacher’s Signature
_____________________________
Parent’s Signature
Thank you for your interest in Literacy Tutoring Program
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