CTM Student Sign Up
If tutoring is available through your school, please sign up there first. We would like to help students that do not have access to tutoring through school. Please reach out to
chicagoteenmentors@gmail.com
if you have any questions or need additional information.
* Required
Email address
*
Your email
Please confirm the parent/guardian email address
Your answer
Parent/Guardian First and Last Name
Your answer
Student email address (must be CPS)
Your answer
Please confirm student's email address
Your answer
Which email address(es) would you prefer Zoom tutoring links be sent to?
Parent/Guardian
Both parent/guardian and student
Clear selection
Which email address(es) would you prefer scheduling information and information about our other outreach events be sent to?
Parent/Guardian
Student
Both parent/guardian and student
Clear selection
Parent/Guardian Title
Ms.
Mrs.
Mr.
Other:
Clear selection
Student First and Last Name
Your answer
Student Pronouns
She/Her
He/Him
They/Them
Other:
Clear selection
Please list your child's school for the 2020-2021 school year.
Your answer
Please list your child's grade (K-12) for the 2020-2021 school year.
Your answer
What subject(s) would you like your child to be tutored in?
Math
Reading
Please select all the time(s) that your child is available to be tutored.
4:00-5:00 PM
7:00-8:00 PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
4:00-5:00 PM
7:00-8:00 PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How did you hear about us?
Friend
Social Media
News
Flyer
School
Community Center
Other:
Clear selection
Additional comment/questions:
Your answer
Send me a copy of my responses.
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