Fall 2019 Interest of Registration Form
If you are interested in participating in our Literacy and/or Numeracy tutoring program, please complete this form.
Fall 2019: September 23rd - November 29th (Excluding Brock's Reading Week October 14th - 18th)
- Sessions will be allotted based on a first-come-first serve basis, and around tutor availability.
- Clients must attend one consistent session each week ($180 for 9 sessions).
- Two sessions may be possible based on tutor availability ($300 for 18 sessions).
- We are unable to accommodate make-up sessions for missed sessions for any reason.
Client placement will take place around the second/third week of January - you will be contacted by email when you have been matched with a tutor.
If you have any questions, please email Paul Ferrara at
Collection of Personal Information:
Brock University protects your privacy and your Personal Information. The Personal Information requested on this form is collected under the authority of The Brock University Act, 1964, and in accordance with the Freedom of Information and Protection of Privacy Act (“FIPPA”). The information will be used for the administration of the Brock Learning Lab and its programs and services. Direct any questions about this collection to the Brock Learning Lab, of the Department of Educational Studies at Brock University at (905) 688-5550, ext. 3548 or see
Page 1 of 5
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service