AMERICA READS APPLICATION

Print form and fill out and mail to: Eileen Michaels, America Reads Program, Riggs Hall, Lower Level, C.W. Post Campus, Long Island University, 720 Northern Blvd., Brookville, New York 11548-1300

Date of Interview: ____________________________________

Interviewed by: ____________________________________

Name: ____________________________________

Social Security #: ____________________________________

Home Address:

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Campus Address:

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Home Phone #: ____________________________________

Campus Phone #: ____________________________________

E-mail Address: ____________________________________

School Year: Freshman Sophomore Junior Senior Graduate

Major: ____________________________________ Advisor: ________________________ GPA: ____________

You need not be an education major to participate in this program, however you do need to be trained in the methods of how to teach reading in order to work effectively as a reading tutor.

Have you taken EDU-61? ____________________________________

Do you have any experience as a reading tutor? ____________________________________

Other languages spoken? ____________________________________

List and describe any experience you have working with children grades K-3 plus any other community service experiences.

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Do you have a car? ____________

If not, do you have access to transportation to travel to local public schools for this position? ____________________________________

Check the semester that you will be able to be a literacy tutor: Fall Spring Summer

 
Long Island University C.W. Post Campus Educational Recourses