Literacy Program Enrollment

Literacy Program Enrollment — Form Fields

This nonprofit template includes 8 fields. Enrollment form for adult or youth literacy programs. Captures participant information, current reading level, goals, and scheduling preferences. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, optional)
• Phone Number (text, required)
• Age (number, required)
• Current Reading Level (Self-Assessed) (dropdown selection, required) — options: Beginning - Learning letters and sounds, Basic - Can read simple sentences, Intermediate - Can read paragraphs with some difficulty, Advanced - Want to improve fluency or comprehension
• Primary Language (dropdown selection, required) — options: English, Spanish, Chinese, Arabic, Other
• Preferred Session Times (checkboxes, required) — options: Weekday mornings, Weekday afternoons, Weekday evenings, Saturday mornings
• What are your literacy goals? (long text, optional)