Student Information Submission

If your child is struggling but does not attend Tupelo public school and is struggling in reading, please complete the following form. This is not a guarantee for enrollment, but you will be contacted and placed into our system for potential placement.

Parent Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Student Name

First Name

Last Name

Student's CURRENT Grade Level

What school does your child attend?

Who is your child's teacher?

Is your child struggling with reading?