Student Referral Form

(This form must be completed by student’s teacher)

The Children’s Literacy Center, a private non-profit community organization, provides individual assistance to students who are reading below grade level, between 1st and 6th-grade reading level.

Enrollment is available at no cost to families.

Students must meet the guidelines listed below to qualify for enrollment.

Complete one form for each student.

To qualify, students must:

  • Complete the first semester of first grade.
  • Be reading below their current grade level.
  • Not be on an Individual Education Plan (IEP) or receiving instruction for a specific learning difference to include Dyslexia.
  • Demonstrate age appropriate behavior conducive to a volunteer environment.