Virtual Outreach Tutoring: Elementary School Student Registration Form
If you are the parent of an elementary school student who needs virtual tutoring, please fill in the following form, and we'll designate a tutor to meet you and your student at a given time.
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Email *
Please state the best Phone Number to contact you if needed *
First Name of Student *
Last Name of Student *
Age of Student *
FOR PARENTS/GUARDIANS: Please state your first and last names and the statement "I approve" after your name in order to give permission for tutoring your student. *
Grade *
Best Days for Tutoring *
Required
Best Time for Tutoring on Selected Day(s) *
Would you like to have a recurring session with your designated VOT virtual tutor? *
If you would like to have a recurring session, do you have a preference for a specific virtual tutor? If so, please state the tutor's name. If not, please state N/A. *
Subject Requiring Tutoring *
Required
If you selected Mathematics, please specify which math course in which you would like help in. If you do not need help in Mathematics, please write N/A for this prompt. *
If you selected Science, please specify which science course in which you would like help in. If you do not need help in Science, please write N/A for this prompt. *
If you selected English, please specify which English course in which you would like help in. If you do not need help in English, please write N/A for this prompt. *
If you selected Social Studies, please specify which social studies course in which you would like help in. If you do not need help in Social Studies, please write N/A for this prompt. *
If you selected "Other," please specify your course name and what help that you need for this course. If you did not select "Other," please state N/A for this prompt. *
Please list any further questions or comments if you have any. If not, then please state N/A for this prompt. *
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