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Peer Tutoring Request Form 2017-2018
Are you struggling in a class this year? Would you like help from a peer tutor? Please complete the information below to be matched with a peer tutor. It can take up to 5-10 days to be contacted, so please be patience. Peer tutoring is based on the availability of peer tutors, but we will make our best effort to match you with a student who is able to help. Remember to visit the Interventions Classroom Schedule for possible tutoring times with teachers. See Ms. Rivord in room 919 or email
if you have any questions.
Student ID Number
Cell Phone Number
What course(s) do you need help in? (Please do not choose more than two)
9th Grade Language Arts
10th Grade Language Arts
11th Grade Language Arts
12th Grade Language Arts
Are there additional times, other than your lunch period, when you are available to be tutored?
Do you need a bilingual tutor? If so, what language?
Who is filling out this form?
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