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Figure 8. San Diego Enrollment Form*

Image for San Diego City Schools.
San Diego City Schools
Office of Instructional Support
Teacher Preparation and Student Support Division
Extended Learning Opportunities Department

School Site Use Only:

Date/Time Rec'd __________

Received By __________

2003-2004 Program Improvement School Supplemental Educational Services (Free Tutoring Services) Selection Form
To be used for parental choice of Supplemenal Services Provider at schools in program improvement for 2 or more years.

Parent/Student Information *Please Print

_______________________________
School Name
_________________________
Grade Level 2003-2004
___________________________________________
Student Last Name    First Name     MI
_________________________
Student ID Number
___________________________________________
Parent/Guardian Name
(___)___________
Home Telephone
(___)___________
Work Telephone
_______________________________________ _______
Street Address                                                         Apt.
_____________
City
_____________
Zip Code

Parents/Guardians please choose whether or not you would like Supplemental Educational Services (Free Tutoring Services) Provided to your student:
Yes, I would like services provided. No, I do not want services provided.

Please select ONE of the following Supplemental Service (Free Tutoring Service) Providers:
(Providers approved by the California Department of Education as of July 9, 2003)

CLASSROOM INSTRUCTION
San Diego City Schools (Grades 1-10) – Classroom instruction for mathematics, reading and California High School Exit Exam preparation tutoring services. Small group session (maximum of 10 students per group) with credentialed teachers at student's school of attendance for a maximum of 80 hours per student. Your school will notify you of enrollment and service start date.

ONSITE INSTRUCTION
Reading Revolution (Grades K-12) – Onsite instruction for reading and spelling instructional program that teaches phonemic awareness, phonics, fluency, vocabulary, and comprehension tutoring services. One-to-one and group sessions with expert tutors customized for student's skill level for a maximum of 30 hours per student, location to be determined. Provider will notify parents/guardians of enrollment and service start date.

ONLINE COMPUTER INSTRUCTION
Brainfuse (Grades 3-12) – Online computer self-paced mathematics, reading writing, ESL, tutoring, and California High School Exit Exam preparation, including using flagship programs and Live Homework Help. One-to-one and small group sessions (maximum of 3 students per group) with expert tutors customized for the student's skill level with unlimited online access until June 3, 2004. Provider will notify parents/guardians of enrollment and service start date.
Pacific Metrics (Grades 6-12) – Online computer self-paced mathematics and reading tutoring service. California High School Exit Exam preparatio, and integrated tests will be in the progression of mathematics and ELA learning systems. Self taught sessions (no tutors) customized for the student's skill level with unlimited online access until June 30, 2004. Provider will notify parents/guardians of enrollment and service start date.
Smartthinking.com (Grades 6-12) – Online computer self-paced tutoring services in mathematics, writing, chemistry, statistics, and economics including using flagship programs and Live Homework Help. One-to-one sessions with expert tutors customized for child's skill level with unlimited online access until June 30, 2004. Provider will notify parents/guardians of enrollment and service start date.

___________________________________________
Parent/Guardian Signature
___________________________________________
Date

* An additional SES provider has since signed on to serve San Diego students.

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