Riverside High School National Honor Society Tutoring Request Form
NOTE: ALL TUTORING MUST TAKE PLACE AT RIVERSIDE HIGH SCHOOL OR AN LCPS FACILITY.

Please complete this form carefully to request a tutor for a student in a particular subject area. Students who are requesting tutors should be checking their e-mail regularly so that initial contact can be made with the assigned tutor so as to designate a start time for tutoring.

If a student requesting a tutor does not respond to the assigned tutor via e-mail within forty-eight (48) hours, the tutoring request is cancelled.

All AM sessions will run from 8:00 AM - 9:00 AM in one of the following locations in which only the teacher in parentheses may sign for verification of supervised tutoring. (NOTE: Tutor must e-mail teacher in whose room the session will take place at least twenty-four hours in advance):

Mondays:
Getis (1402)
Oh (1403)
Talboo (1406)
Bartley (1515)
Catalfamo (1516)
Jones (1609)
Campbell (1610)
Rector (L311)
Suraci (L404)
Wood (L215)

Tuesdays:
Cossa (1211)
Getis (1402)
Oh (1403)
Plunkett (1404)
Talboo (1406)
Bartley (1515)
Catalfamo (1516)
Dwyer-Allen (1608)
Jones (1609)
Campbell (1610)
Rector (L311)
Suraci (L404)
Wood (L215)

Wednesdays:
Getis (1402)
Oh (1403)
Talboo (1406)
Klug (1509)
Bartley (1515)
Catalfamo (1516)
Dwyer-Allen (1608)
Jones (1609)
Campbell (1610)
Rector (L311)
Suraci (L404)
Wood (L215)

Thursdays:
Cossa (1211)
Getis (1402)
Oh (1403)
Talboo (1406)
Klug (1509)
Bartley (1515)
Catalfamo (1516)
Jones (1609)
Campbell (1610)
Rector (L311)
Suraci (L404)
Wood (L215)

Fridays:
Oh (1403)
Talboo (1406)
Bartley (1515)
Catalfamo (1516)
Jones (1609)
Campbell (1610)
Rector (L311)
Suraci (L404)
Wood (L215)

NOTE: No tardy slips will be written for students from tutoring locations to 1st or 5th block, so please watch the time.

All PM sessions will run from 4:10 PM - 5:10 PM in one of the following locations in which only the teacher in parentheses may sign for verification of supervised tutoring. (NOTE: Tutor must e-mail teacher in whose room the session will take place at least twenty-four hours in advance):

Mondays:
Oh (1403)
Wharton (1513)
LaFerriere (L409)

Tuesdays:
Oh (1403)
Wharton (1513)
Dwyer-Allen (1608)
LaFerriere (L409)

Wednesdays:
Oh (1403)
Wharton (1513)
Dwyer-Allen (1608)

Thursdays:
Oh (1403)
Wharton (1513)
LaFerriere (L409)

Fridays:
Wharton (1513)

If you would like to arrange tutoring in the classroom of the teacher for whose course you are receiving tutoring, please ensure that the teacher is willing to stay with you and your tutor so that (s)he may verify the hours of the NHS tutor.

Please e-mail Dr. Di Nicola at Tripp.DiNicola@lcps.org with any questions, concerns, or special considerations.

Select the type of tutoring which you are requesting. *
If your tutoring request is TEMPORARY in terms of how long you would like assistance, please choose SHORT TERM below. Otherwise, please select LONG TERM. *
Subject Area of Request *
NOTE: Please indicate STUDY SKILLS/ORGANIZATION if a student needs assistance with course preparation and study skills all around.
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Choose preferred mode of communication with tutor. *
Student E-Mail *
Your answer
Name of Teacher for Course of Tutoring Request *
Your answer
E-mail Address of Teacher for Course of Tutoring Request *
Your answer
Parent/Guardian E-mail of Student Requesting Tutor *
Your answer
Before School Availability (8:00 AM - 9:00 AM) *
Room L403 or Special Arrangement with Teacher of Course for Which Tutoring is Arranged -- NOTE: TUTORING HOURS MUST BE VERIFIED BY LCPS FACULTY/STAFF MEMBER.
Required
After School Availability (4:10 PM - 5:10 PM) *
Room L201 or Special Arrangement with Teacher of Course for Which Tutoring is Arranged -- NOTE: TUTORING HOURS MUST BE VERIFIED BY LCPS FACULTY/STAFF MEMBER.
Required
Study Hall Block (NOTE: You MUST choose an AM/PM available time in addition to this option.)
NOTE: If you request that an NHS tutor comes to tutor you during his/her own study hall block, remember that their assignments/homework are a priority before tutoring is begun at that time. Tutor and student being tutored must communicate regarding the status of their sessions taking place or not depending upon their own schedules.
Your answer
Additional Information
Please provide any preferences / special information about this request to be considered for tutoring assignment. We will do our best to accommodate, but may not always be able to comply due to member schedules.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms