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* 1. Your information

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* 3. School Name

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* 4. Year

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* 5. Student Grade

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* 6. Teacher's Name

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* 7. Student's First Name

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* 8. Student's Last Name

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* 9. Gender

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* 10. Assigned Student

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* 11. Hours Spent

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* 12. Hours Spent

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* 13. Hours Spent

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* 14. Hours Spent

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* 15. Hours Spent

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* 16. Hours Spent

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* 17. Hours Spent

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* 18. My student "graduated" from Reading Buddies due to increased reading skills.

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* 19. Comments/Reading Buddy Change of Address or Other Contact Information

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