Registration Application

RULES TO APPLY

· 1st – 5th grade

· Attend a Title 1 school

· Reads below grade level

This is an online service. The parent/guardian is responsible for ensuring their child receives the proper guidance and support to aid them as needed. This includes but not limited to receiving emails, uploading documents & images, as well as video call(s). The learners are expected to complete all activities as scheduled.

We strongly recommend parental involvement. Research supports that when parents are actively involved with their child’s learning, the child is motivated to actually give their absolute best effort. When their best is met with quality instructions, true learning occurs for all parties involved.

There is a strong correlation between students who live in underserved communities and the reading achievement gap. 3 factors included are:

1. A lack of funds in the community.

2. The lack of parental involvement.

3. The lack of proficient teachers.

‘Your Reading Clinic’ is here to bridge the gap in reading by providing high quality, on-line tutorial services, specializing in differentiated instructions to meet the individual needs of every learner.

Please complete the registration application below. Once funds are available, we will be servicing learners in the order as we receive the application.

Your Reading Clinic,

`WRITING PRESCRIPTIONS TO FIT THE NEEDS OF EVERY LEARNER

Name

First Name

Last Name

Phone

(###)

###

####

Grade and Age

Email Address

School Name and Address

Reading Assessment Scores

Please provide at least 1 of the following: Lexile reading score Star Literacy report MAP Reading Score

Rate your reading strengths and weaknesses

Please rate each of the 5 reading components by listing one of the following for each: Needs improvement OR On-level 1. Phonological and Phonemic Awareness Learner is aware of all the parts of a word. Skills include rhyming, segmenting, blending, sound manipulation, and alliteration. 2. Phonics Learner understands that letter symbols represent sounds, and that sounds can be blended together to make written words. 3. Vocabulary Enhancement Learner understands word knowledge and uses reasoning skills to determine the meaning of a word as it is used in the context of a story. 4. Fluency Learner has the ability to read with speed, accuracy, and proper expression. 5. Comprehension Learner has rich understanding of the meaning of a reading passage, including summarizing the main idea or message and making inferences about key details using clues from the passage.

Comment

Briefly explain some of the things that you are struggling with in school.