ViP Tutoring 2022-2023 Student Registration Form
Welcome! We are glad you reached out for assistance!

Below, you will find an option asking whether you prefer in-person or virtual (Zoom) sessions. We will do our best to accommodate your location(s) of choice for in-person sessions.

PLEASE NOTE - Both the ViP Tutor and Student Code of Conduct are available on our website under the FAQ/Documents page.
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IMPORTANT TO READ BEFORE YOU BEGIN: Please submit one form per student. We will contact you from our ViP email or text (the option you choose below) to discuss a potential tutor match. Our tutors are a select team of teacher-recommended & trained high school student tutors enrolled in advanced or college-level coursework. Unfortunately, they are not certified or equipped to assist students with special needs. We appreciate your understanding.
How did you hear about us? *
If you selected "Teacher or Guidance Counselor," please provide their name below.
Which type of sessions do you prefer? Check all that apply. *
Required
If you request tutoring more than once a week, check here.
Clear selection
If you prefer in-person tutoring sessions, do you wish for your tutor to wear a mask when working individually with your student?
Clear selection
If you prefer in-person tutoring sessions, list your top options for locations below. Please name one library and at least one other library or community center where your child is available for tutoring after 4:30 pm. If listing a YMCA, please clarify which location.

Example - Reynolda Library and Robinhood Road Family YMCA
Parent/Guardian First & Last Name *
Parent/Guardian Email Address *
*Please enter an email address that you check daily.
Parent/Guardian Contact Phone Number for matching *
Address where student resides (for service location purposes) *
Student's First & Last Name *
Student’s Email Address
Name Student Prefers If Different
Example - "Jon" instead of Jonathan
Student's Pronouns *
Student's Assigned School *
Student's Grade for 2022-2023 School Year (K-12th) *
Where did your student attend school last year if different from this year?
Does the parent or guardian communicate fluently in English to correspond with ViP tutors? *
If you answered "No" to the above question, what language does the parent/guardian primarily speak to correspond with ViP tutors?
Does the student have access to WiFi and a device? *
Did the student start a new grade in school this year or were they retained to repeat their last grade? *
Is the student currently in an academically gifted program at their school? If so, please check what applies.
This allows us to know which level of classes they may need assistance in.
How can we best help your student? *
You can check more than one area.
Required
Based on your choice(s) above, please give a specific example(s) of what your student needs from their tutor. *
Examples: practice dividing fractions, homework, reading comprehension skills, spelling, missing math assignments
If there is no current homework or immediate tasks to work on or practice at a particular session once sessions start, what would you like to see your student work on enriching skills in during their time with their tutor? *
For example, areas of weakness in other subjects or suggestions based on teacher feedback or test scores
VIRTUAL/ZOOM: Preferred Time Windows (Saturday options are listed in next question below)
Check ALL that are possible options in order to get a tutor as quickly as possible. Parents of little ones, please make sure that you can have your child at a quiet place and ready to work for the times chosen. Elementary sessions typically begin at 30 minutes and can work towards longer sessions over time if attention span and interest allow.
4:30-5:15pm
5:00-5:45pm
5:30-6:15pm
6:00-6:45pm
6:30-7:15pm
7:00-7:45pm
Monday
Tuesday
Wednesday
Thursday
Friday
IN-PERSON WEEKDAY (LOCAL LIBRARY SCHEDULE): Preferred Time Windows (Saturday options are listed in next question below)
Check ALL that are possible options in order to get a tutor as quickly as possible. Parents of little ones, please escort your child into the library to meet with their tutor and return to area promptly for pickup.
4:30-5:15pm
5:00-5:45pm
5:30-6:15pm
6:00-6:45pm
6:30-7:15pm
Monday
Tuesday
Wednesday
Thursday
Friday
IN-PERSON: Preferred Time Windows for SATURDAY IN-PERSON Sessions-Please write in time windows that you would like a 45 minute session within between 10am-5pm. For example, 12:30pm-5pm.
Parents of little ones, please escort your child into the library to meet with their tutor and return to area promptly for pickup.
VIRTUAL/ZOOM: Preferred Time Windows for SATURDAY VIRTUAL Sessions-Please write in time windows that you would like a 45 minute session within between 10am-5pm. For example, 12:30pm-5pm.
Student CANNOT be tutored these days due to scheduled activities or other conflicts: *
Check all that apply.
Required
Special Circumstances Tutors Should Know About
Check any that apply and please describe if needed in the box below this question.
Adult Supervision & Tutor Preference Options
Are there any further comments or information that you would like to share?
ViP's Peer Guides Program matches a small group of middle- to high-school students who could benefit from a high-school mentor to one of our ViP Peer Guides, a team of select upperclassmen tutors. Those enrolled in our Peer Guides Program meet quarterly in a group setting with other pairs to share advice, experiences, and set academic and career goals. This program starts back in the fall. If you are interested, please indicate so below.
Clear selection
Please check the boxes below to confirm permissions and that you understand our ViP Code of Conduct. *
Required
PLEASE check over your form before submitting it to make sure that you fully answered all questions. Our website is viptutoring.org. Please check us out there and follow our Facebook/Instagram pages (quick links on our website home page) to stay updated on our program!
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