Peer Tutoring Center Referral
Please complete this form so that a peer tutor can be matched to you.
Name of student
Email of student
List the subject(s) for which the student is requesting tutoring
Time of Tutoring Preference (select all that apply)
Morning session (7:30 am to 7:53 am)
Afternoon session (3:15 to 3:45)
Personal tutor requested (the student will be matched with a peer tutor and they will work out a schedule)
Duration of tutoring (how many weeks does the student need a tutor)
the rest of the semester
two weeks prior to exams
Person referring the student (please be sure to communicate with the student if you are referring them to the PTC at Northwood)
Student's Guidance Counselor's Name
Referring person's name, email, and cell phone
Anticipated start of tutoring (enter the date)
Send me a copy of my responses.
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This form was created inside of Chatham County Schools.