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Tutoring Referral Form
Tutoring takes place in the LPP office in room 502A. After school tutoring is only available only on Mondays, Tuesdays, and Thursdays.
Student's name (first and last)
Name of staff member making referral
Staff email address?
I would like to offer extra credit to students who consistently attend tutoring for my subject.
What subjects are the reason for referral? Select all that apply.
What Regents does the student still need to complete? Select all that apply.
They have completed all regents requirements.
What days of the week is the student able to attend tutoring? Select all that apply.
What time of the day is the student typically able to attend tutoring?
Student would prefer lunch time tutoring (11:55 am - 12:55 pm)
Student would prefer after school tutoring (2:30 pm - 5 pm)
Student can attend tutoring both during lunch and after school.
What are the student's specific tutoring needs? Select all that apply.
Reviewing class material
Assistance with a project
Studying for regents
College essay writing
Additional questions, concerns, or important information regarding the student?
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This form was created inside of Harlem Renaissance High School.