FYR is LIT Inquiry Form for Tutees
The questions below help us understand where your child is coming from and how we can best support them during the tutor partnership. If possible, please do fill it out with the child who is signing up for tutoring, it should take about 10-15 minutes.
* Required
Child's first name
*
Your answer
Child's last name
*
Your answer
Child's date of birth
*
MM
/
DD
/
YYYY
Child's current grade in school
*
Your answer
What is the name of the school the child attends?
*
Your answer
What is the relationship between the person filling out this form and the child?
*
Your answer
What is the name of the person submitting this form?
*
Your answer
What is the email address of the person submitting this form?
*
Your answer
Briefly explain the biggest concern you or the child have regarding their literacy?
*
Your answer
Is there any family history (learning styles, experiences in school etc.) that would be helpful for us to know about while tutoring this child?
Your answer
What are the child's interests?
*
Your answer
Check all academic habits that this child has.
*
Is attentive in school
Enjoys doing homework
Reads for pleasure or without being asked
Has legible handwriting
Asks for help when having trouble
Other:
Required
Please describe this child's reading habits.
*
Your answer
What two goals do you and the child have for the six sessions with FYR is LIT?
*
Your answer
Please feel free to share any additional information below.
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
