Student Application

Student Application

About STAIR
Para la versión en español del formulario, haga clic en el botón de la esquina superior derecha que dice "español.

STAIR (Start The Adventure In Reading) is a free after school reading program for first and second graders in 13 Birmingham area schools. STAIR meets after school and each student is paired with a volunteer tutor and receives one-on-one attention to help them become a stronger reader.

Because each student works with their very own tutor(s), it is important that all students commit to attending every scheduled STAIR session. If your child cannot attend due to sickness, doctor’s appointment or some other reason, please let us know ahead of time so that we can plan accordingly.

We are looking forward to your student joining us for tutoring this year. We are excited to partner both with you as parent/guardian as well as with your student on their way to reading better and dreaming bigger.
Select your student's school below to see the days/times that STAIR meets.*
Para la versión en español del formulario, haga clic en el botón de la esquina superior derecha que dice "español.

STAIR (Start The Adventure In Reading) is a free after school reading program for first and second graders in 13 Birmingham area schools. STAIR meets after school and each student is paired with a volunteer tutor and receives one-on-one attention to help them become a stronger reader.

Because each student works with their very own tutor(s), it is important that all students commit to attending every scheduled STAIR session. If your child cannot attend due to sickness, doctor’s appointment or some other reason, please let us know ahead of time so that we can plan accordingly.

We are looking forward to your student joining us for tutoring this year. We are excited to partner both with you as parent/guardian as well as with your student on their way to reading better and dreaming bigger.
Washington meets on Wednesdays and Thursdays. Pick-up time is at 4:30 PM.
Hayes K-8 meets on Tuesdays & Wednesdays immediately following school. Pick-up time is at 4:30 PM.
Hemphill meets on Tuesdays and Thursdays. Pick-up time is at 4:35.
Hemphill meets on Tuesdays and Thursdays. Pick-up time is at 4:35.
Hemphill meets on Tuesdays and Thursdays. Pick-up time is at 4:35.
Norwood meets on Tuesdays and Thursdays. Pick-up time is at 4:30.
Hemphill meets on Tuesdays and Thursdays. Pick-up time is at 4:35.
Hemphill meets on Tuesdays and Thursdays. Pick-up time is at 4:35.
Restoration meets on Tuesdays and Thursdays. Pick-up time is at 4:30.
Sun Valley meets on Tuesdays and Thursdays. Pick-up time is at 4:30.
Here’s what you can expect from us:
- A STAIR volunteer tutor will meet with your student on the afternoons listed above.
- STAIR will provide all necessary books, curriculum, and supplies for reading tutoring to enrolled students.
- Your STAIR program will follow your school's calendar and inclement weather closures.
- Regular communication from your student’s tutor and/or Site Director.
Here’s what we need from you to make our partnership successful:
- Commit to your student’s participation during your site's programming.
- Communicate any absences to your student’s Site Director with as much notice as possible.
- Participate in our Family Engagement program, which will include texting activities, reading books, and virtual/in-person family events.
STAIR of Birmingham works in partnership with your child's school, so we may share academic progress and attendance-related data with school personnel once your child is enrolled in the program.
Student Application

Contact and General Information
Child's Name*

First NameLast Name
Who is referring this child?*

My child's teacher sent home a flier.I am.
Date of Birth*

MonthDayYear
Date
Grade Level*

1st Grade2nd Grade
Did your student participate in STAIR last year?*

YesNo
Sex*
Race*
Is this student Hispanic or Latino?*

YesNo
T-Shirt Size*
School*
Current Teacher's Name*
Current Teacher's Email
example@example.com
Parent/Legal Guardian 1*

First NameLast Name
Relationship to Student*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Alternate Adult Contact #1*

First NameLast Name
Alternate Adult Contact #1 Phone Number*

Area CodePhone Number
Alternate Adult Contact #2*

First NameLast Name
Alternate Adult Contact #2 Phone Number*

Area CodePhone Number
Please list anyone other than you allowed to pick up your child from STAIR.*
Please list anyone NOT allowed to pick up your child from STAIR.

Student Application

More About Your Child
Are there any health issues, allergies or current medication?*

YesNo
Please explain.
Is there a 504 or IEP from school?*

YesNoNot Sure
What accommodations does your child receive at school?
Tell us about your child's greatest strengths/skills.*
What are your hopes for your student as they join STAIR? *
We want to work with your family. Any details you can provide about these or other potential barriers will help us serve your student successfully.

Student Application

STAIR Consents
I, First Name Last Name hereby authorize my minor child, , to participate in the STAIR of Birmingham program (the “Program”). In consideration for my child’s participation in the Program, and the benefits enjoyed by my child from such participation, I agree and acknowledge as follows:
I HAVE READ THE RELEASE, LIABILITY WAIVER AND HOLD HARMLESS STATEMENT, THE EMERGENCY MEDICAL TREATMENT AUTHORIZATION, AND THE MEDIA RELEASE, FULLY UNDERSTAND THEIR TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS REGISTRATION, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I AM AT LEAST 18 YEARS OLD.
As legal guardian of First Name Last Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Should be Empty: