Family Enrollment Form

FALL 2025 Course Descriptions 

In-person courses: 

ESE 341/361/510/521: Grades K-12 

Instructor: Dr. Amanda Yurick
When: Tuesdays from 5:30 - 6:15 PM, 9/15/25 - 12/11/25

This class serves learners with both mild and moderate/intense disabilities only (e.g. autism, intellectual disability, multiple disabilities) in grades K-12 by pairing with tutors in reading, writing and math. This course will meet in person on Tuesdays for 45 minutes. Tutors and tutees will work on assessments and activities essential for learning course objectives and, when possible, student schoolwork. Please note the starting and ending dates indicated above. Please plan to attend every session and notify the center in advance of absence.

REMOTE COURSES:

ESE 341/361/510/521: Grades K-12 

Instructor: Dr. Amanda Yurick
When: Tuesdays from 6:30 PM - 7:15 9/15/2025 - 12/11/2025

The class serves learners with both mild and moderate/intense disabilities only (e.g. autism, intellectual disability, multiple disabilities) in grades K-12 by pairing with tutors in reading, writing and math. This course will meet remotely on Zoom on Tuesdays for 45 minutes. Tutors and tutees will work on assessments and activities essential for learning course objectives and, when possible, student schoolwork. Please note the starting and ending date indicated above. Please plan to attend every session and notify the center in advance of absence.

 

 

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Course Selection:

Student information (please enroll only one student at a time. Complete additional form for each additional child enrolled):

Student Name/Grade/School Name:

2. Student Gender:

3. Grade

5. Medium of Regular School Instruction

6. Disability Status

7. Preferred Method of Contact/Permission

Parent/Guardian Contact Info (Primary)

Please enter your phone number in the designated format with numbers and dashes (e.g. 555-555-5555)

11. Cell Phone Provider (Primary)

Parent/Guardian Contact Info (Secondary)

15. Cell Phone Provider (Secondary)

Student contact info (Usable by Student)

19. Devices Available for Use (Select all that Apply)

20. Programs/Applications Used/Approved for Student use During Tutoring

Mailing Address
Cleveland State University
2121 Euclid Avenue, JH 130
Cleveland, OH 44115

Campus Location
2485 Euclid Avenue
Julka Hall, Room 130
Cleveland, OH 44115

Phone: 216.687.4768
communitylearningctr@csuohio.edu