Tutoring Registration Form
One-on-one Tutoring for Autistic Students
Academic Profile - Please check all that apply
My child requires academic assistance with homework
My child requires redirection when completing homework (help staying on task)
My child needs academic help (skills-based) in a particular area
My child requires skills-based lessons in math
My child requires skills-based lessons in reading
My child requires skills-based lessons in spelling
My child requires assistance staying on task while practicing reading
My child requires assistance reviewing materials to prepare for tests
My child requires assistance with organization (such as agenda organization and weekly planning for assignments)
Please describe the academic skills/subjects you would like us to work on with your child
What is the outcome you would like to see if your child is to participate in this tutoring program?
Please list any diagnoses (or suspected diagnoses) your child may have which may affect their academic skills
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