Literacy in the Community Tutoring
WHAT: Please outline your students' academic problems/concerns and what you feel their needs are for academic support in the following box:
WHAT grade is your student in?
WHEN: When would you like to begin solving your academic concerns for your students?
WHERE: Where is the best location to implement academic support/a tutoring plan?
Examples: In-Home, Local Library, Local Community Center, In-School, etc.
WHY: Why is it important to gain help soon?
HOW: How do you see academic support being implemented?
Examples: during school, after school, one on one, small groups, large groups, with siblings, etc.
Do you have any questions you'd like us to address?
Students' School District:
Contact/Parent Name:
Contact/Parent Phone Number:
Contact/Parent Email Address:
City, State and Zip Code:
Are you interested in beginning tutoring for your student?
How did you hear about Literacy in the Community Tutoring?
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This form was created inside of Literacy in the Community, LLC.