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EveryOne Counts Student Recommendation Form (1)
Once you submit this recommendation form, make sure you receive a confirmation message. Until you receive a confirmation message, your submission has not been received by VIPS’ staff.
Teacher Name
(Required)
Email
(Required)
School
(Required)
Classroom Number
(Required)
Grade You Teach
(Required)
Preferred Method of Contact
(Required)
Best Time to Contact You
(Required)
Students' Names
You may recommend up to 10 students on each form. To recommend additional students, you will need to submit another form. If you recommend fewer than 10 students, please select “no” in the unused fields in place of the students’ name. (e.g. If you only recommended 3 students, select “no” for Recommended Student 4-10)
Student 1
(Required)
Student 1 ID Number
(Required)
Student 1 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 2?
Yes
No
Student 2
Student 2 ID Number
(Required)
Student 2 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 3?
Yes
No
Student 3
Student 3 ID Number
(Required)
Student 3 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Recommend Student 4?
Yes
No
Student 4
Student 4 ID Number
(Required)
Student 4 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 5?
Yes
No
Student 5
Student 5 ID Number
(Required)
Student 5 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 6?
Yes
No
Student 6
Student 6 ID Number
(Required)
Student 6 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 7?
Yes
No
Student 7
Student 7 ID Number
(Required)
Student 7 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 8?
Yes
No
Student 8
Student 8 ID Number
(Required)
Student 8 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 9?
Yes
No
Student 9
Student 9 ID Number
(Required)
Student 9 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Recommend Student 10?
Yes
No
Student 10
Student 10 ID Number
(Required)
Student 10 Needs Help With:
(Required)
Number Recognition
Addition
Subtraction
Counting
Multiplication
Division
Writing Numbers
Student Availability
Please include days and times when Reading Friend volunteers can work with the students you recommend. Allow at least ONE hour of availability for each day you select, and
the more times you offer the more likely a volunteer will be able to select your student.
Please remember to exclude lunch, recess, and ancillary times. EX. M-F: 10:00-11:30am; 1:00-2:00pm
Please include day and time of availability.
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