Community Learning Center for Children and Youth

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

STJ Teacher Reporting Form

Student Information (Please fill out the form for only one student at a time. Complete additional form for each additional child.)

2. Student Grade Level:

4. Curriculum used in the Classroom:

Other

5. List the current Unit Title and Content Area for Curricula selected in Question 4 (select all that apply):

Read 180

Math 180

Bridges Math

Journey's Reading

Units of Study Reading

Envisions Math

Eureka Math

Other

7. Most Recent Standardized Test Score in Tutoring Content Area (select applicable option, then fill in corresponding grade in drop down):

Other

MAP

OST

Other

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