Student Referral Form2026-05-05T11:26:00-04:00

Student Referral Form

This field is for validation purposes and should be left unchanged.
SPS staff referring student:

Student Information

Please provide the student(s) information below, use the [+] sign to add more rows.
Parent/Guardian Phone
Name
ID #
Grade
One-on-one or small group?
How would the student(s) benefit from having a mentor?

“I have been participating in the Read Aloud Program for the past 10 years and had planned to make this my last year, but my experience was so heartwarming and I loved every minute of [it.] I am anxious to return next month.”

– Marjorie Hurst, Volunteer

Marjorie Hurst, Volunteer

“Thank you very much. I just wanted to say that helping in our schools has truly been a life changing event for me. I should be paying them for letting me help.”

– Don Dorn, Jr., Volunteer at Samuel Bowles School

Don Dorn, Jr., Volunteer at Samuel Bowles School

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Springfield School Volunteers

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Springfield, MA 01103
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