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SUMMER Clinic Application 2019 AVON

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Summer Reading Program 2019 Hosted by Avon Central School E-mail: Riderj@geneseo.edu Phone: 585-905-1000 The School of Education Graduate Program at SUNY Geneseo offers a summer Reading and Writing tutoring program Students in grades one through twelve, who are experiencing difficulty in learning to read and write, are invited to attend During each session, students will participate in literacy lessons that are based on their interests and needs Graduate students enrolled in the Literacy Specialist Program carry out the tutoring There is no charge for this community service The Summer Reading Program will take place at Avon Central School Parents or other caregivers must provide transportation to and from the program The sessions start on Tuesday, July 2nd in the Avon Elementary School Library Students attend the program Monday –Thursday from 9:15 – 10:30 am OR 12:15 – 1:30 p.m Sunday Monday Tuesday Wednesday Summer Reading Program July 2019 Thursday No Clinic Friday Saturday 5 –Holiday- 10 11 12 13 17 18 19 20 16 17 26 27 Summer Reading Program 14 15 16 Summer Reading Program 21 22 15 Summer Reading Program *Enrollment in the Summer Reading Program represents a firm commitment that students will attend regularly throughout the entire program Please not enroll your child if you cannot make this commitment If you are interested in enrolling your child, fill out the attached Parent Form and have your child’s teacher fill out the Student Information Form Return the completed forms to address below: Nikki Stekl, Secretary AVON FAMILIES: You can submit your application to your School of Education – South Hall 200 child’s teacher or drop off at Primary School Main Office SUNY Geneseo It will be forwarded to Jill Rider Geneseo, NY 14454 Please understand that we have limited spaces in the After School Reading Program and may not be able to accommodate all children SUNY Geneseo faculty will make final decisions for placements Decisions will be based on the needs of your child as well as the needs of the SUNY graduate students For more information, please contact Jill Rider at 905-1000 or e-mail: Riderj@geneseo.edu Parent Application Form SUNY Geneseo Reading Program Summer 2019 Child’s Name Birthdate Age Parent’s Name Email: _ Parent’s phone (home) (work) _(cell) Address Last Year’s Classroom teacher (2018-2019) Next Year’s Classroom teacher (2019-2020) Grade(2019-2020) Has your child attended the SUNY Geneseo reading clinic in the past? Yes No _ If yes, when did your child attend? _ Please circle your preferred session: Morning (9:15 – 10:30 a.m.) Afternoon (12:15 – 1:30 p.m.) No Preference Please describe the behaviors that indicate to you that your child is in need of tutoring: _ _ _ Please note any medical/food allergy/behavioral information: _ _ You will be contacted by June 14th if your child is selected to attend If my child is selected to attend clinic, I give permission for the Reading Clinic staff to: *Administer diagnostic reading assessments *Use photographs and videotapes of sessions as teaching devices in SUNY Geneseo Education coursework and/or at our parent session Barring any unforeseen circumstances, I am confident that my child will be able to attend every session Vacations, sports and other extracurricular activities will be scheduled for other times during the summer Parent/Caregiver Signature _ Date For more information or if you have any questions, please contact Jill Rider at 905-1000 or E-mail: Riderj@geneseo.edu Summer Reading Program 2019 Student Information Form To be completed by Teacher Please return to: Jill Rider Student Name: Grade Level: _ Reading level: _ Classroom Teacher: _ Reading/Resource Teacher: _ Is the child receiving special services from the school? Yes No _ Please indicate special services and time student spends in that service: _ Please indicate if you have concerns regarding child’s progress in the following areas of literacy: Not a Concern at this time Needs Improvement Comments: Phonological Awareness Phonics Word Identification Accuracy Skills Comprehension Fluency Vocabulary Writing Are there any other areas of literacy not listed that the child needs to improve? Please list any methods/materials/strategies that have been successful with the child? _ _ Are there any methods/materials/strategies that have not been successful? _ _ What books or types of books does the child enjoy? _ If available, please comment on child’s recent test scores _ _ We will be working with the student a limited number of times What area(s) should we focus on this summer so it can be as rewarding as possible for the child? _ What else should we know that might help us in our efforts at the Summer Reading Program? _ _ It is most helpful to the child if the graduate student can get in touch with you if he/she has additional questions or concerns Would you be willing to speak or e-mail the graduate student working with this child? Yes No If yes, what is the best way to contact you? _ For more information or if you have any questions, please contact Jill Rider at 905-1000 or E-mail: riderj@geneseo.edu Thank you for taking the time to complete this information form Please return it ASAP as the student will not be accepted until all paperwork is complete ... Classroom teacher (2018 -2019) Next Year’s Classroom teacher (2019- 2020) Grade (2019- 2020) Has your child attended the SUNY Geneseo reading clinic in the past?... please contact Jill Rider at 905-1000 or e-mail: Riderj@geneseo.edu Parent Application Form SUNY Geneseo Reading Program Summer 2019 Child’s Name Birthdate Age Parent’s... 14th if your child is selected to attend If my child is selected to attend clinic, I give permission for the Reading Clinic staff to: *Administer diagnostic reading assessments *Use photographs

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