WHS After-School Tutoring Program 22-23
Please fill out this form if you are in need of after-school tutoring. Please choose the option below that you are interested in but PLEASE NOTE that you will be assigned with a different option if your first choice is not available. You will be contacted by the Counseling office when you are assigned to a tutor.

Initially, you will be scheduled for one session per week per subject area.

**Please fill out a new request for each individual subject.**

Parents/Guardians, please notify the Counseling office if you feel that your student would benefit by attending an additional session each week. Participation in an additional session will be at the discretion of administration.

Students are expected to attend all scheduled sessions and notify their tutor should a conflict arise. There are no fees for this program. Regular attendance is required to remain in the program and will be monitored.
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Email *
Student Last Name *
Student First Name *
Current Grade *
Course Name: *
Course Teacher: *
Current Numerical Grade in Course (%): *
Type of Tutoring Requested: *
Have you discussed tutoring with your teacher? *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
STUDENT RESPONSIBILITIES (a): Students must participate in the tutoring session by paying attention and completing assignments and projects. Students must be prepared for the session with their textbook, handouts, assignments, and other materials. *
STUDENT RESPONSIBILITIES: Many students are involved in other after school activities and athletics. Coaches and advisors support participation in the tutoring program. The student is responsible for contacting the tutor when a conflict arises. Long term conflicts should be addressed with administration and/or counseling. *
STUDENT RESPONSIBILITIES: Students must be on time for the tutoring session and should attend every week. Failure to meet any of the above responsibilities may lead to dismissal from the program. This is a privilege extended to students to help them succeed. *
A copy of your responses will be emailed to the address you provided.
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