Seeking an ELCA Student Tutor
Please fill out this form if you need a student tutor to help you and we will email you your tutoring details as soon as possible. Costs may range from $0-$20 per hour depending on the subject, level of difficulty, and availability. This year, we have set rates: $10/ 45 minutes for grades 7 and below; $20/ 45 minutes for grades above 7th grade. If there are specific one time sessions or subject requests, rates may change accordingly (i.e. Exam preparation, longer session durations). This will be discussed via contact.If you want tutoring one time only, then please still fill out this form. You will only need to fill this form out once per year. Please feel free to ask questions in the comments/concerns section on the bottom of this form.
Additional Notes:
1. Students will meet with their tutor at a specific assigned classroom under the supervision of a faculty member. If you would like to meet somewhere else (i.e. another teacher's classroom) please indicate below at the "Questions, Comments, or Concerns."
2. Please prepare proper pick up/drop with the student's tutor when sessions are set.
Parent/Student Information
Student Name
Your answer
Parent Name
Your answer
Grade
Student/ Parent Email
Please list the contact that can be easily reached for responses. (Only one is needed and indicate the owner.)
Your answer
Student/Parent Phone
Please list the contact that can be easily reached for responses. (Only one is needed and indicate the owner.)
Your answer
About the Student
Please offer any notes about the student on their preferences and any information that the tutor should be aware of if available. i.e. How does the student learn best? Are they easily distracted?
Your answer
Subjects You Need Help With
Check all that apply. If your subject is not listed, check "Other" and list your subject.
Required
How frequently do you want us to tutor you?
Please be specific. Would you like tutoring regularly or only one time (i.e. Exam) ? If regularly, how many times a week?
Your answer
Intended Start Day
MM
/
DD
/
YYYY
Session Availability
Which time slots are you available? Check all that apply.
Required
Any additional questions, comments, or concerns?
Your answer
IMPORTANT INFORMATION
*If your child is in ELCA's After School Program, you MUST send a signed note to after school indicating that you give permission for your child to leave after school for tutoring. On the note, you must indicate the tutor's name, the date, and your signature. ELCA's Student Tutoring is NOT responsible for your missing a session if you fail to send a note to after school. After School will NOT permit any student to leave for tutoring unless they receive a written note or email from the parent. Type your name in the box below in place of a signature to indicate that you understand and will abide by these conditions. Submitting this form indicates that you have read and understood this information.
Your answer
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