Jasper's Corner Interest Form
Please fill out this form if you are interested in adding your student(s) to the Jasper's Corner. Please fill this interest form out to be contacted so we can have your information on file. Submitting this form does not guarantee immediate enrollment and families may be placed on a waitlist. If we have space at our sites we will contact you for onboarding!**
Parent/Guardian First and Last Name
*
Parent/Guardian Email Address
*
Parent/Guardian Phone Number
*
Parent/Guardian Address (street, city, state, zip code)
*
Name(s) of Your Student(s)
*
Student's Grade in School (K-12)
*
What subject(s) does your student need help with?
*
Math
Writing
Science
History
Reading
Spanish
Looking for a mentor/tutor
General study skills
Other
Is there a specific location you would like to have your student placed at? Placement at location will depend on space and time available. Please choose all locations that you are comfortable with.
*
Armacost Library at the University of Redlands
Redlands Community Center
A.K Smiley
Any additional information or details you would like to share regarding your student (academic, special needs, etc.)?
Submit
Should be Empty: