Clone of Tutor Request Form

AR Literacy Grant Recipients

At Lil Readers, our certified teachers provide individualized reading tutoring for students in Kindergarten through 12th grade. Students participate in two or three 45-minute sessions per week, each tailored to their specific learning needs. With a low teacher to student ratio of 1:5 for grades K–5 and 1:10 for grades 6–12, we ensure a supportive and focused learning environment. We proudly serve families at two convenient locations in Little Rock and North Little Rock.Through the Arkansas Literacy Grant, eligible students receive $1,500, which covers up to six months of high-quality tutoring services. Please note: Lil Readers does not provide the grant, it is obtained through Arkansas Department of Education.
Personal & Contact Information

Please make sure all information is accurate.
Student's Name*

First NameLast Name
Grade*
Gender*
Birth Date*

MonthDayYear
What school does your child attend?*
Which location are you enrolling in?*

North Little Rock (Open Monday - Thursday)Little Rock (Open Tuesday & Thursday only)
How did you learn about us? (If you were referred by anyone, please list their name) *
Does your child have any learning disabilities or any behaviors that we should know about? Providing this information helps with developing a learning plan that's catered to your child. *
If you have a copy of student data, upload here. (acceptable data: NWEA scores, ACT Aspire scores, reading level data, report cards only if it is skilled based with a number rating of 1-4)

Cancelof
Parent's Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Select Start Date*

Week of January 12Week of February 2
You have the option for your child to receive tutoring 2 or 3 days per week. How many times would you like them to tutor?*

2 (45 minute sessions per week)3 (45 minute sessions per week)
Our NLR location is open Monday - Thursday. Which days would you prefer?*

MondayTuesdayWednesdayThursday
Select a start time that works best for you. We meet Monday-Wednesday. The times you select are the times you are able to commit to.*

3:00pm3:15pm3:30pm4:00pm4:15pm4:30pm5:00pm5:15pm5:30pm6:00pm6:15pm
Do you have any additional comments/concerns?*
Should be Empty:

AR Literacy Grant Recipients

Personal & Contact Information