Tutor Request Form

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Tutor Request Form

This is a form to request a 1:1 tutoring session with a tutor from Learn It

Email *

Are you requesting this form for yourself or your student? *

Self referral

For a student; I am a parent/guardian

For a student; I am a teacher

If you are referring someone else, have you spoken to the student/family?

Yes

No, but I plan to

Clear selection

Student Name (first and last) *

Grade level of student *

Subject(s) for tutoring *

English

Math (please write the specific course name below)

History (please write the specific course name below)

Science (please write the specific course name below)

Spanish

Organization

Help prioritizing assignments and make up work

Other:

Required

Specific course name (for Math, History, and Science)

When are you available for tutoring? *

Monday 3:30-4:30pm

Tuesday 3:00-4:00pm

Wednesday 3:30-4:30pm

Thursday 3:00-4:00pm

Would only like access the Schoology Learn It Discussion Board to ask questions when I need it.

I do not know when the student is available (only teachers should choose this option)

Other:

Required

Are you requesting ongoing tutoring? *

No, I am looking for a one time tutor for an assignment/test/etc

Yes, I would like ongoing tutoring

Other:

Anything else you'd like to add?

A copy of your responses will be emailed to the address you provided.

Submit

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