Tutoring request form
This is an official request for peer tutoring. Our tutoring center is open on Tuesdays, Thursdays and Fridays during study hall periods. If you are filling this out on the behalf of a student, please make sure to discuss it with them. Once this form has been filled out, we will contact the student to set up a schedule. Thank you for your support!
**Please note, tutoring sessions are always subject to peer tutor availability. This is a peer program and there may not be a student available during all times requested or in subjects requested.**
Information about student needing to be tutored.
(To avoid delay, please fill out completely with the specific information requested.)
First Name *
Your answer
Last Name *
Your answer
Student ID# *
Your answer
Student's school email address *
Your answer
Student's Cell phone number (for contact purposes)(no dashes) *
Your answer
Student's Cell phone carrier (ie. Sprint, Verizon etc. to text reminders and notifications via email) *
Your answer
Study hall time *
Study hall room number *
Your answer
2nd hour class room number *
Your answer
Grade level *
Student needs help with...
Please choose 1
Specific Course needing help in *
More information? Use this space to give us additional information that we may need to get you set up with a tutoring schedule (i.e., is there a specific test (with date) you are studying for, are you behind on homework, etc.)
Your answer
Who is requesting tutoring *
All correspondence will be through school email and texts to the phone you've provided. Please keep an eye out for messages.
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