Reader Program Application-调查问卷模板-问卷网

What's your email address?

____________

What's your full name?

____________

What's your child's name?

First Name ____________

Surname ____________

What's your child's gender?

Male

Female

What's your child's age?

____________

What's your time zone?

UTC-8

UTC-7

UTC-6

UTC-5

What's your child's Lexile Standard Level?

Below1050L

1050-1150L

1075-1150L

1100-1200L

1100-1300

Above 1300L

Please pick your child's available time for reading according to the UTC-8(LA) time zone

Multiple choice

UTC-8 Friday 18:00-19:00

UTC-8 Friday 19:00-20:00

UTC-8 Friday 20:00-21:00

UTC-8 Saturday 18:00-19:00

UTC-8 Saturday19:00-20:00

UTC-8 Saturday 20:00-21:00

Reader Program Application