Pleasanton PTA Tutoring Request Form
Pleasanton PTA Community Volunteer Hub provides free academic support for vulnerable and at-risk youth, grades K-12, who have fallen behind in their grade-level studies. Local adult and teen volunteers provide ongoing, one-on-one tutoring and mentoring to help children improve their academic performance, learning engagement and overall confidence.

If you are the parent or guardian of a PUSD student who would benefit from tutoring in Math, Science, Language Arts (reading & writing), Social Sciences, and Foreign Languages, please sign up below to indicate your student’s subjects of interest and their availability. Please complete one form for each student.
Email address *
How did you learn about this tutoring program? *
Please share the name of the referring PUSD staff. *
Parent/Guardian First name *
Parent/Guardian Last name *
Parent/Guardian Contact Phone Number *
Student First name *
Student Last name *
Student Preferred Pronouns
What school does your student attend in PUSD? *
What grade is your student for the 2020-21 school year? *
Would your student benefit from tutoring in a language other than English? If yes, what language?
Are you able to supervise your student's remote tutoring sessions? *
In what subject(s) does your student MOST need assistance? Your student will not be limited to this area. You may mark more than one. *
Quickly describe any specific concerns or help that your child might need, including specific classes (math level, elective, etc).
Does your child have any social/emotional needs or learning disabilities that we should be aware of? Please explain.
General Availability (select all that apply) Please note that tutoring sessions will likely last 1 hour.
Morning 9 a.m. - noon
1 p.m. - 4 p.m.
4 p.m. - 8 p.m.
Occasionally we use photos of our tutors and their students for outreach purposes. Please indicate if you are okay with having your photo used. *
Any comments, questions, or suggestions for us?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy