Centers for Reading and Writing > For Students > Student Application Form

Student Application Form

The NYPL Centers for Reading provides tutoring for adults who want to improve their reading and writing skills or English Language skills. It's free. It's confidential. It works. To join, fill out this application form or visit any of our Centers. Please read the student information before filling out this form.
  Personal Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State:   Zip Code: 
E-Mail Address:
Home Phone:
Work Phone:
Call me:
During the:
   
  Location Preference
Where would you like to take classes?
   
  Class Preference
Which literacy class would you like to take?
   
  Time Preference
  When would you like to take classes?
Please specify at least one time slot.
You can view the list of times available.
NOTE: Please choose a location first.
1st choice:
2nd choice:
3rd choice:
   
Would you like to receive Technology Assisted Instruction?
*Technology-Assisted Instruction will be provided by appointment during regular CRW hours.