Fields with asterisks (*) are required.

Parent/Guardian please complete the application in order for it to be accepted. If application is incomplete it will not be accepted.

Child 1 information

Child 2 information

Child 3 information

I give permission for the child/children listed above to participate in the Literacy Program in the College of Education at Wayne State University. I understand that tutors in this program are students who engage in this instruction as part of the requirements for their coursework for Elementary Education. I give permission for the above named student(s) to be video recorded and audio recorded during instruction and for work to be photocopied. I understand that these recordings and students work will not be used in any form for profit nor will they be shared with others not related to this program without my permission.

By typing in your name as Parent/Guardian that will serve as your signature.

You will be notified if your child is accepted into the program by the first week of May 2024.
Note: Due to overwhelming responses, we will be unable to contact each parent. If we do not call you, your child will be place on our current waiting list! Applicants must reapply each school year.

The High Five Literacy Program for Spring 2024 will be held in the College of Education, room 30. Teachers will work with the children on Monday and Wednesday evenings from 5:40-6:40 pm.

Note: Attendance in the program on a regular basis will benefit both your child and the tutor. Two (2) or more absences will result in your child being withdrawn from the program. It is the parent or guardian's responsibility to call 313-577-0991 and report your child will be absent.