RWM APPLICATION

Read/Write & Math Intervention Program Fall 2025 Program Application
Thank you for your interest in our Read/Write & Math Intervention programs. For information on programs, please visit our website by clicking HERE

Please note, the title of our department is Read/Write & Math Intervention. This does NOT mean all programs blend literacy and numeracy. You may choose to request a blended program in boosters and/or intensives only. We will assess and determine if doing both programs is the best intervention for your child. Our interventions are based on assessment and not request.

Please reach out to us at rwmintake@foothillsacademy.org with any questions you may have.

We require documentation supporting any diagnosis. If your child has NOT been diagnosed, please do not check off a diagnosis. You can tell us your concerns for your child in the space provided.

NEW! Parent add-on program! Wonder what your child is doing in their program? Want to learn more first hand about our programs and how you can keep the work going between lessons? Add a one-hour parent program to your registration! Spend time with one of our literacy and/or numeracy experts while your child is in their own sesion. ONLY $70!!!

PLEASE NOTE: All applications require a June report card. Applications will NOT be processed without the most current progress report.

If your child is accepted into a program (or is already in a program) we use Hubshare to communicate with families. You will get an invitation to create an account with Hubshare. If you already have an account, you can access it here: ca.hubshare.com

We are offering:

Weekly Lessons (Literacy or Math) (1 or 2 hours per lesson, once a week) Cost: $70/hour

Booster Weeks (Literacy or Math) (2-3 hours per lesson, 4-5 lessons in one week during the school day only) Cost: $65/hour

Intensives (Literacy or Math) (2-3 hours per lesson, 4-5 lessons per week, 4-5 weeks with teh same instructor) Cost: $65/hour

Foundations in Math Small Group: 2 lessons per week; Group is 2-5 students; One instructor; Uses ST Math, manipulatives, direct instruction, and builds foundational skills. Option to select topics relevant to current school work.

Math Gaps: 1.5 hours gets you a math assessment and report identifying gaps in your child's math skills, a parent session on how to help with math and learning about our programs.

All programs have weekly updates loaded into your parent account in Hubshare.

All programs are with the same instructor barring any unforeseen challenges or illnesses when we provide a sub. There are NO CANCELLATIONS and NO RESCHEDULING of lessons for any reason unless we are unable to provide you with a sub.

Registration is first come first served. Please indicate ONLY THE TIMES YOU ARE AVAILABLE.

Student Info
Child's Legal Name*

First NameLast Name
Child's Date Of Birth*

MonthDayYear
Parent/Guardian Name*

First NameLast Name
Email*
Phone Number*
Has the student been previously enrolled in any Read/Write Math programs?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Student Info
Child's Preferred Name
Grade*
School*
Student's first language:*
Spoken at school (majority of classes):*
Spoken at home (most often):*
What diagnoses does the student have? (select all applicable) PLEASE NOTE: If you select a diagnosis, we require documentation supporting that diagnosis before you are given a space in the program. Please upload supporting documentation with this application. Do NOT check a diagnosis if your child does not have a psychoeducational assessment.

ADHDMath Learning DisabilityReading Learning DisabilityWriting Learning DisabilityNo Diagnosed Learning DisabilityOther
Tell us some your child's interests.*
Foothills Academy Society is one of the only programs that offers financial relief to make it easier for students who need support to get the help they need. We rely on fundraising and donations to make this happen. Are you interested in learning about our fundraising efforts?

YesNo
Please identify the top 3 concerns you currently have with your child's literacy skills (your child's instructor will use this information to help create program goals - the more information provided the better):*
I have read the cancellation policy and understand I have to pay a non-refundable deposit of $100 to secure my child's spot when offered a program placement (Initial)*

Yes
Are there any potential triggers (fears/phobias/anxieties) or current difficulties in the family (i.e. family member's health, recent death) that may affect your child at our program?*
If your child has applied or completed the intake process for other Foothills Academy programs, please sign below to provide consent to access your child's file. We may access their file to obtain a copy of their psycho-educational assessment or IPP. Programs Include: Psychology Groups, Amicus Camps and Recreation, Foothills Academy School Program

*Please note if your child has completed a psycho-educational assessment through Foothills Academy Community Services, we cannot obtain their assessment without parent completion of a Authorization to Release Information form. Please reach out to rwmintake@foothillsacademy.org if you need to complete this form in order for us to obtain the psych-ed assessment internally.
Sign here to provide consent to access your child's file from the above programs:

Clear
Please upload your child's most recent report card. If not submitted, we will follow up to request this. You may choose to update the report card through Hubshare when you have a new one to share.

Cancelof

Program Selection
The student would attend this course:*
If there is no more availability for your preferred selection, would you accept a spot offered in the alternative facilitation method (i.e. no more available in person spots, would accept online spot)?*

YesNo
Which program would you like to apply for?*

LiteracyMathBoth

Which program would you like to apply for?*

Booster (Literacy or Math)Weekly (Literacy or Math)Foundations in Math Small GroupIntensive (Literacy or Math)Math Gaps! NEW PROGRAMParent Program (Literacy or Numeracy)More than one program
Which math program would you like to apply for?

Weekly MathMath Booster

WEEKLY PROGRAM OPTIONS

NEW THIS YEAR! Wondering what your child works on every week? Want to learn more about how to support your child between lessons? Want to learn more about the gaps your child has in literacy or numeracy? Add a parent session to your registration! For only $70, attend a parent session with one of our experts while your child is in their lesson. Learn strategies specific to your child and get a deeper understanding of how your child is learning in our programs!
- 1 hour per day
- Maximum request of three days per week
- Cost $70/hour
- One time (per session) charge of $70 for reporting and planning (weekly updates, activities, final summary report, and planning for programming)
- Same instructor 1:1
Mondays: Sept 8-Dec 16 (14 Lessons) $1050 No lesson Oct 13

Tuesdays: Sept 9-Dec 17 (14 lessons) $1050 No lesson Nov 11

Wednesdays: Sept 10-Dec 18 (15 lessons) $1120

Thursdays: Sept 11-Dece 19 (15 lessons) $1120

Fridays: Sept 12-Dec 20 (15 lessons) $1120

Saturdays: Sept 13-Dec 13 (13 lessons) $980

All programs can be 2 hours long if requested.

Must attend all lessons. Lessons cannot be rescheduled for a different day nor will make up lessons be offered.

No refunds for missed lessons.
How many hours total per week would you like to request?*
What day (days) of the week are you available? (PLEASE ONLY SELECT THE DAYS YOU HAVE REAL AVAILABILITY)*

MondayTuesdayWednesdayThursdayFridaySaturday
I am applying for:*

LiteracyMath
YES! I want to add a parent session to my registration. I understand I can choose any week my child is already in a lesson by booking at least two weeks in advance.

SIGN ME UP!
Please list the times you are available and your PREFERRED start time. We will do our best based on staff availability to meet your preferred times.*

MATH GAPS!

Math Gaps is our newest program.

Does your child hate math or say they are not good at it?

Are you unsure how to help?

Do you feel like you do not know what the problem is?

Help is here!

Your child will do a math assessment and we will provide a detailed report about the foundational skills your child is missing. We will recommend a program to help fill those gaps. Our math programs are a great way to catch math skills up and get your child feeling confident and happy about math.

You meet with one of our math experts while your child is being assessed. Learn about our programs, how to shift the math mindset, and get some ideas about how to help at home.
Select the intensive you are applying for:
I am available:

Between 8am-4pmBetween 12pm-7pmBetween 4pm-7pm
Select all that will work for you*

MondayTuesdayWednesdayThursdayFridaySaturday
Any information you have about scheduling requests? NOTE: NO AFTER SCHOOL OR WEEKEND REQUEST FOR INTENSIVES; Please tell us your preferred start date (March 31 as an example)

Booster Program (Literacy or Numeracy)

Our 1-week boosters are a more effective option than weekly lessons to fill in specific gaps in literacy skills. Get the same number of hours in one week that you would in 3 months coming once a week. Using the same evidence-based literacy programs, our instructors informally assess your child on the first day of the program and develop literacy goals for the week of the program.

Boosters take place during the school day between 8am-4pm. These are school pull-out programs.

New this year! Add a parent program! For only $70, spend 1 hour with one of our literacy or numeracy experts and learn more about the work your child is doing, strategies to support your child between lessons, and ideas to keep the learning going after they finish! Do this while you wait for your child!

Booster weeks run either 4 or 5 days.

Boosters cost: $650 for 10 hours (5 days) or $975 for 15 hours (5 days) or 12 hours (4 days) $780 or 8 hours (4 days) $520

Rolling Intake. Choose any week between September 8 and December 16.
How many weeks are you hoping to book?*

123
What date do you want to start?*

MonthDayYear
Date
I am applying for:*

LiteracyMath
YES! I want to add a parent session to my child's program! For $70 I will learn more about my child's program and walk away with strategies to support my child at home.

SIGN ME UP!
Tell us: what time of day are you available? do you want 2 hours or 3 hours per day? Do you want 4 days per week or 5?

FOUNDATIONS IN MATH SMALL GROUP PROGRAM

Small group program. 4-5 students in each spot. We require a minimum of 2 students for the group to run.

Required to attend twice per week.

Students work on foundational skills to support their work in the classroom. Working with an experienced instructor, students will work on math vocabulary, calculation strategies, word problems, and learn foundational strategies like: Chisanbop, Woodin Math, and Visualization.

Choose from two days between M-Th (ex. Monday and Tuesday, or Monday and Wednesday, or Tuesday and Thursday, or Wednesday and Thursday)

Session 1: 4:00-4:50pm

Session 2: 5:00-5:50pm

Session 3: 6:00-6:50pm

Choose from 5 weeks (10 lessons) or 10 weeks (20 lessons). Each set of 5 weeks is $450.

Upon approval of your application, we will send you a link to choose your days and times.
I would like to book:*

M/WT/ThM/ThT/WM/TOther

PARENT TRAINING PROGRAM

Have you ever wondered how you can support your child's literacy skills at home beyond reading to them?
Consider our new Parent Training Program! You get to meet with one of our expert instructors for 1.5 hours to learn the language and basic exercises to support your child's reading and spelling skills at home. You also get a small kit of materials that mirror what we use in our Read/Write Intervention program. Finally, you get a half-hour follow-up to answer any questions you might have. This is not intended to replace intervention but to continue your child's learning at home.

Program Details:
Location: In person at Foothills Academy Society
Duration: 1.5 hours of instruction and follow up question session for 1/2 hours
What's Included: A small kit of materials to take home to support what was taught
I am interesting a parent training program in:

Reading and SpellingWritingNumeracyA blend of programs
Please provide us with as much information as possible about your availability and what you hope to get out of the program.

INTENSIVE PROGRAM (Literacy or Numeracy or Both)

Our intensive programs are the best way to close gaps in reading and/or spelling and/or writing and/or math. Your child works with the same instructor 1:1 for 4 or 5 weeks for 2 or 3 hours each day.

Intensives take place during the school day between 8am-4pm. These are school pull-out programs.

New this year! Add a parent program! For only $70, spend 1 hour with one of our literacy or numeracy experts and learn more about the work your child is doing, strategies to support your child between lessons, and ideas to keep the learning going after they finish! Do this while you wait for your child!

Intensive registration is ongoing.

Intensives cost:

40 hours (can be 4 or 5 days/week 2 hours per lesson) $3,080 includes a pre and post assessment

60 hours (can be 4 or 5 days/week 2 or 3 hours per lesson) $4380 includes a pre and post assessment

75hours (can be 4 or 5 days/week 3 hours per lesson) $5355 includes a pre and post assessment

Rolling Intake. Choose any week between September 8 and December 16.
I would like to register my student in:*

40hour intensive60 hour intensive75 hour intensive
I prefer:*

MorningsAfternoons
I would like my child to start on:

MonthDayYear
Date
I am requesting:*

LiteracyMathBoth Literacy and Math
Please provide us with any more information including any preferred start times, days/week, start day (Monday or Tuesday) we will do our best to accommodate based on staff availability

Bursary Request
Bursary - I would like to apply for financial assistance for this program through Foothills Academy. (Please note that while the bursary program is not restricted to low income families, an application outlining the need for fee reduction will be sent to you and will require tax documentation).

NoYes
Should be Empty:

Read/Write & Math Intervention Program Fall 2025 Program Application

Student Info

Student Info

Program Selection

Bursary Request