Kellam HS Peer Tutor Request
This form is for Kellam High School students who need extra support or academic assistance. It may be submitted by teachers, students, parents, mentors/advisors, guidance counselors, or administrators. Please answer all 8 questions before submitting. PEER TUTORING IS CURRENTLY AVAILABLE DURING BLOCK 3A AND THE LUNCH BLOCK ON A DAYS.
1. Who needs help? *
2. Write the NAME(s) of the student(s) in need of peer tutoring and the GRADE LEVEL. *
Your answer
3. Write the NAME and EMAIL ADDRESS of the person recommending tutoring (the name of the person filling out this form). *
Your answer
4. What is your relationship to the student(s) in need of tutoring? *
5. Write the subject(s), assignment(s), or academic skill(s) in which the student/group needs help. *
Your answer
6. Peer Tutoring is currently available during BLOCK 3A and lunch on A days. If the student has a class Block 3A, he/she will need permission from the 3A teacher to be tutored during the block. Please identify the Block 3A teacher, subject, and classroom. *
Your answer
7. Does the student have an Academic Support Block? If so, please identify the block, teacher, and classroom location. *
Your answer
8. Is there anything else you want us to know about the student(s) and the assignment(s)? *
Your answer
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