PeerTutor Student Form
Thank you for your interest in PeerTutor. Please fill out the following form so that we can gather some more information. This information is necessary when we are looking to pairing children with potential tutors. All information provided in this form is confidential.
Background Information
Parent/Guardian's Name *
Your answer
Student's Name *
Your answer
Contact information (email) *
Your answer
Student's gender *
Student's Age *
Student's Grade *
In order to pair up students with tutors, we need to gather your geographical location.
Major intersection for preferred meeting location (or more specific location if you would like) *
Your answer
Student Academic Background
At PeerTutor we are looking to ensure that student's are paired up with a tutor who will meet their needs. For that reason, we ask that you fill out some academic background information.
English level *
How many years has the student been speaking English? *
What subject does the student want to focus on?
Please let us know if there is anything else that you would like us to know. We will be following up with you shortly!
What else would you like us to know?
Your answer
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