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. *
Required
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.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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.
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