2025 Spring ReSiT Application

Program Dates:	Monday, February 10, 2025 - Thursday, May 22, 2025
Sessions/Week:	Two (2) sessions/week
Format:	Online, via Zoom
Days:	Mondays/Wednesdays or Tuesdays/Thursdays
Times Available:	5:00 p.m. or 6:00 p.m. CENTRAL
Session Length:	Fifty-five minutes
Tuition:	$900/thirty (30) sessions

Student Name*

First NameLast Name

Nickname?

Student Pronouns*

Ex - he/him, she/her, they/their

Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Birthday

Date

School Attending in 2024-2025*

Student Grade in 2024-2025*

Primary Contact*

First NameLast Name

Primary Contact Relationship*

Primary Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Primary Contact Phone*

Primary Contact Email*

example@example.com

Has your child received reading intervention at school or elsewhere? If so, please describe.

Additional Student Information

Please tell us about your child with regard to reading. Do they like to read? What do you see at home? What are teachers telling you?

If applicable, please attach any IEP, neuropsych evaluations, testing, etc.

Browse Files

How did your hear about us?*

If accepted, my 1st choice of schedule is:*

Monday/Wednesday - 5:00 p.m. CENTRALMonday/Wednesday - 6:00 p.m. CENTRALTuesday/Thursday - 5:00 CENTRALTuesday/Thursday - 6:00 CENTRAL

If accepted, my 2nd choice of schedule is:*

Monday/Wednesday - 5:00 p.m. CENTRALMonday/Wednesday - 6:00 p.m. CENTRALTuesday/Thursday - 5:00 CENTRALTuesday/Thursday - 6:00 CENTRAL

If accepted, I would like to receive student session reminders:*

By email onlyBy text onlyBoth

Tuition Payment Options*

I am able to pay the full $900 tuition.I require financial assistance.Other

If you require financial assistance, please tell us how much of the tuition you can pay.

Terms & Conditions: Please read this information.

By signing this application you have read and accepted the
Terms & Conditions.

Placement and Tuition

If you are a new family, we will arrange a brief screening for your student to determine eligibility.
If we have a placement for your student, we will send you an enrollment confirmation showing your assigned days and times.
Tuition is $900 for 30 sessions, unless you are approved for a scholarship.

Payment

After you receive your enrollment confirmation, you will be billed for the full amount of the tuition, unless other arrangements have been made.

Communication and Important Information

You will receive progress reports from your student’s Reading Specialist in Training by e-mail twice during the program.
Online sessions require minimum computer and internet capabilities. Please review the Zoom system requirements here.
If these requirements cannot be met, we may need to discontinue services.

Attendance

By signing below, you are committing to attending all sessions, barring illness or emergency. Missing a session deprives the Reading Specialist in Training of the teaching hours needed for certification.
Missing two or more sessions for any reason may result in the removal of the student from the program. (Poor attendance has a direct effect on your enrollment in future ReSiT programs.)
No make-ups or refunds are available if a session is missed.

Print Name*

Signature*

Date*

Date