2022-2023 Tutoring Request Form

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Please fill out this form to set up a tutoring session with a PALCS Peer Tutor. Each session will take place in a teacher's Zoom room and will be monitored by a PALCS teacher.

**Please submit this form AT LEAST 24 hours before the specified time, to give our tutors time to prepare. Thank you!**

Email *

Agree to the statement below: *

I agree to follow the Student Code of Conduct set forth by PALCS in the student handbook and understand if I do not I will be dismissed from the session and unable to participate.

Agree to the statement below: *

I understand that one-time tutoring is scheduled on a week-by-week basis. I must continue to fill out this form each week for new sessions.

Parent Email *

Student PALCS Email *

Student Last name *

Student First name *

Grade Level *

6th

7th

8th

9th

What subject do you need help with (Be Specific) (Ex. Algebra, 3rd grade science, etc.) *

What area do you need help in (Be Specific) (ex: help with writing an essay, help with fractions etc.) *

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