REACH
Application Form
Please return to Lola Shock
_______________________________________ ______
Student Name Grade
_______________________________________
Parent or Guardian Name
________________________________________________________________________
Address Zip
______________________________ ______________________________
Home Phone Work Phone
______________________________
Cell Phone
_______________________________________
Email Address
REACH Grade Level Support:
Students receive the same college preparatory curriculum within the same classrooms as
every other Harding student while receiving core-subject support from the REACH
teacher. Parents receive communication by email daily for 7th and 8th grade students and
as needed for 9th – 12th grade students.
REACH 4:1 Math Class (ESP):
Students learn the same curriculum and earn the same credit as in regular math classes
but receive more individualized attention in the REACH math class with a
student/teacher ratio of 4:1.
Enroll the above student in the following REACH offering(s):
(Please circle your selection/ selections)
Grade Level Support: 7 8 9 10 11 12
4:1 Math Class: PreAlgebra Algebra I Algebra II Geometry
I understand that signing this form does not guarantee a place in the REACH program: however,
as soon as my student’s placement is finalized, I will receive, sign, and return the contract
addendum.
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Parent Signature