RWM APPLICATION - Spring 2026

Read/Write & Math Intervention

Spring Program Application
Application Requirements
Before you begin this application, please ensure you have all required documents:
1. This application form
2. Psychoeducational assessment (for any child with diagnoses)
3. Most recent report card
4. Bursary application and supporting documents (if applicable)
Program Registration Guide
Review of the Program Registration Guide is required before registering for Read/Write & Math Intervention programming.*

I have reviewed and agree to adhere to the Program Registration Guide

Parent Information
Parent / Legal Guardian #1 (all legal parent/guardians must be listed):*

First NameLast Name
Phone Number*
Email*
Parent / Legal Guardian #2 (all legal parent/guardians must be listed):

First NameLast Name
Phone Number
Email
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Information
Student Legal Name*

First NameLast Name
Student Date Of Birth*

MonthDayYear
School*
Grade*
Read/Write & Math Intervention requires submission of the most recent report card. If your child is homeschooled, learning plans are required. Please upload here. *

Cancelof
Has your child previously enrolled in Read/Write & Math Intervention programs?*

YesNo
Student Learning Profile
Please specify your child's diagnosis (if applicable, select all that apply):

ADHDReading Learning DisabilityWriting Learning DisabilityMath Learning DisabilityOther Diagnosis
Read/Write & Math Intervention requires documentation supporting any diagnosis. All applications for students with a diagnosis must include submission of a psychoeducational assessment. Please upload here.

Cancelof
Read/Write & Math Intervention programs provide structured, remedial and intervention-based programming. Please identify the concerns you have with your child's literacy and/or numeracy skills. DO NOT include instructor preferences or requests. *
Program Selection
Please review the program information on our website prior to selecting your requested program(s). If you have questions about our programming, please contact our Intake Department prior to submitting your application. Program selections cannot be changed by email request after submission; a new application will be required.
Joanne Fantuz, Intake Inquiries
rwmintake@foothillsacademy.org 403-270-9400 ext.252
Which program(s) would you like to apply for? Select all that apply.

52HR Intensive78HR Intensive10HR Booster15HR BoosterWeeklyFoundations in Math: Small Group ProgramParent Training Program
Requested Program(s)
52HR Intensive. Select the program dates:*

March 31-May 6May 7-June 12No preference
52HR Intensive. Select the programming:*

LiteracyNumeracyBlended (*based on RWM assessment)
52HR Intensive. Select the program delivery:*

In-person at Foothills AcademyOnline
52HR Intensive. Intensive programs run 8:00AM-4:00PM. Scheduling is determined based on instructor availability at the time of application review. Please indicate your scheduling preferences. DO NOT include instructor preferences or requests.*
78HR Intensive. Select the program dates:*

March 31-May 6May 7-June 12No preference
78HR Intensive. Select the programming:*

LiteracyNumeracyBlended (*based on RWM assessment)
78HR Intensive. Select the program delivery:*

In-person at Foothills AcademyOnline
78HR Intensive. Intensive programs run 8:00AM-4:00PM. Scheduling is determined based on instructor availability at the time of application review. Please indicate your scheduling preferences. DO NOT include instructor preferences or requests.*
10HR Booster. Select your program date(s):*

April 6-10April 13-17April 20-24April 27-May 1May 4-8May 11-15May 25-29June 1-5June 8-12No preference
10HR Booster. Select the programming:*

LiteracyNumeracy
10HR Booster. Select the program delivery:*

In-person at Foothills AcademyOnline
10HR Booster. Booster programs run 8:00AM-4:00PM, weekdays only or weekdays and Saturdays. Scheduling is determined based on instructor availability at the time of application review. Please indicate your scheduling preferences. DO NOT include instructor preferences or requests.*
15HR Booster. Select your program date(s):*

April 6-10April 13-17April 20-24April 27-May 1May 4-8May 11-15May 25-29June 1-5June 8-12No preference
15HR Booster. Select the programming:*

LiteracyNumeracy
15HR Booster. Select the program delivery:*

In-person at Foothills AcademyOnline
15HR Booster. Booster programs run 8:00AM-4:00PM, weekdays only or weekdays and Saturdays. Scheduling is determined based on instructor availability at the time of application review. Please indicate your scheduling preferences. DO NOT include instructor preferences or requests. *
Weekly. Select your program dates:*

1HR Monday (April 6-June 8)2HR Monday (April 6-June 8)1HR Tuesday (March 31-June 9)2HR Tuesday (March 31-June 9)1HR Wednesday (April 1-June 10)2HR Wednesday (April 1-June 10)1HR Thursday (April 2-June 11)2HR Thursday (April 2-June 11)1HR Friday (April 10-June 12)2HR Friday (April 10-June 12)1HR Saturday (April 4-June 13)2HR Saturday (April 4-June 13)
Weekly. Select the programming:*

LiteracyNumeracy
Weekly. Select the program delivery:*

In-person at Foothills AcademyOnline
Weekly programs run after school hours and on Saturdays. Scheduling is determined based on instructor availability at the time of application review. Please indicate your scheduling preferences. DO NOT include instructor preferences or requests.*
Foundations in Math: Small Group. Select the program dates:*

Monday & Wednesday (April 1-June 10)Tuesday & Thursday (March 31-June 11)No preference
Foundations in Math: Small Group. Select the program time:*

4:00PM-5:00PM5:15PM-6:15PM6:30PM-7:30PMNo preference
Parent Training Program. Select the programming:*

Parent Training Program - ReadingParent Training Program - WritingParent Training Program - Math
Parent Training Program. Select the program time:*

Tuesday 4:00PM-6:00PMWednesday 4:00PM-6:00PMFriday 8:30AM-10:30AMFriday 11:00AM-1:00PM
Bursary Program
Bursary Application Form
Financial assistance is available through Foothills Academy. Bursary applications (including all supporting documents) must be submitted BEFORE submitting this program application. Program applications received without submission of bursary application will not be processed and will require a full reapplication. Would you like to apply for bursary?*

YesNo
Bursary applications are active for one year from date of application. If you have submitted a bursary application within a year, you do not need to submit a new bursary application. If you are unsure, please contact Dave Bolink, Director of Business Management, to confirm BEFORE you submit this program application.*

I have an active bursary application on fileI have emailed a new bursary application
Dave Bolink, Director of Business Management
dbolink@foothillsacademy.org 403-270-9400 ext.214
Foothills Academy Society 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 more about our fundraising efforts?*

YesNo
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Read/Write & Math Intervention

Application Requirements

Parent Information

Student Information

Student Learning Profile

Program Selection

Requested Program(s)

Bursary Program