Marion Technical Institute Tutoring Intake Form
Marion Technical Institute is pleased to provide tutoring services to our students. Please complete the form below, and Mrs. Jamerson will contact you to discuss and arrange the appropriate accommodations for your student. Tutoring sessions will begin on January 21, 2024, and will be held after school from 3:15 PM to 4:45 PM.
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Email *
Student Name *
Grade Level *
Parent/Legal Guardian Name(s):­­­­­­­­­­­­­­­­­­
 *
Parent/Legal Guardian's email address:­ *
Parent's Cell phone number *
Does the student have any diagnosed learning differences?   (Ex: ADHD, slow processing speed etc.)
What days work best for tutoring: *
Required
How will your student be picked up?
Clear selection
By selecting "Yes," I acknowledge that my student is expected to report to the designated tutoring area immediately after class dismissal. If they are more than 5 minutes late to their designated area on three or more occasions, they will be suspended from the program.
Clear selection
By selecting "Yes," I acknowledge that I am responsible for picking up my child no later than 6:05 PM. If I am late on the third occasion, my child will be removed from the program until the 2025-2026 school year. *
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