45 Bristol Street, New Haven, CT 06511 information@newhavenreads.org 203-752-1923
Volunteer

Waitlist Application 2

    Student Information
    Date (required):
    Student’s Name (required):
    Address (required):
    Apartment:
    City (required):
    Zip Code (required):
    Date of Birth (required):
    Age (required):
    Gender (required):
    School (required):
    Current Grade (required):
    Does he/she have any siblings enrolled in the NHR tutoring program? (required)
    If yes, please list:
    Preferred Day for Tutoring:
    Preferred Time:
    Has he/she ever been retained? (required)
    If yes, what grade?
    Have you received notification that he/she will be retained? (required)
    Does he/she receive special services at school? (required)
    If yes, describe:
    Please include any additional information that may affect his/her academic progress:
    Do you have a computer at home with internet connection?
    What is the primary language spoken at home? (required)

    Guardian Contact Information

    Primary person student lives with (required):
    Relationship to student (required):
    Home Phone:
    Cell Phone (required):
    Email Address (required):

    Parent Acknowledgements

    I understand:

    • The New Haven Reads (NHR) program is for children who are struggling with reading.
    • My child will be added to the Waitlist on the date I submit a completed waitlist application form.
    • I am responsible for making sure that my phone numbers are current.
    • NHR fills openings based on the date a child is entered on the Waitlist. When space becomes available for my child, NHR will attempt to contact me using the phone numbers I have provided.
    • If I do not respond within the time frame indicated in the message, the space will be offered to another child.
    • After three unsuccessful attempts to offer my child placement in the program, NHR will remove my child from the Waitlist.
    • I can find other resources for my child at https://newhavenreads.org/resources/literacy-resources.
    Parent/Guardian Signature (required):
    Date (required):

    Book Bank Hours
    Monday: 12pm-4pm
    Tuesday: 1pm-7pm
    Wednesday: 1pm-7pm
    Thursday: 1pm-6pm
    Friday: 12pm-4pm

    45 Bristol Street
    New Haven, CT 06511

    203-752-1923

    (EIN) 760807330

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    Our Mission

    Founded to share the joy and power of reading, New Haven Reads partners with the community to provide free 1-on-1 tutoring, educational family support, and a book bank to empower aspiring readers to master the literacy skills needed to thrive in school and life.

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