Higher Heights Tutoring Intake Form
Welcome to your Tutoring Program offered through Higher Heights Youth Empowerment Programs, Inc.

Our tutoring program gives children extra opportunities to improve their math, English/Reading, Science, and Social Studies skills.

Your child will meet individually with a certified tutor. These tutoring sessions will take place once per week (per subject as needed). Each session will last about 30-45 minutes.Tutoring sessions will be scheduled so that your child does not miss important classwork.The goal of these tutoring sessions is to help your child to become a more skilled and confident student.


Please complete the attached form so we can better prepare your individualized tutoring program for you.
Student First Name
Student Last Name
Your email that you will check
Select your grade level
Clear selection
The best way to support your tutoring experience is to know what assignments your teachers have shared with you. The best way to know this is to have access to your Google Classroom. Please share your Google Classroom username (this should be your school email)?
What is your Google Classroom password?
Which subject (s) do you enjoy?
Which subject (s) do not enjoy?
Please select the days and times you are interested in receiving tutoring. Each session is 30 minutes.
9:00am
10:00am
11:00am
12:00pm
1:00pm
2:00pm
3:00pm
4:00pm
5:00pm
Monday
Tuesday
Wednesday
Thursday
Friday
Next
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