Fall 2017 Tutoring Schedule Details
Use this form to report the tutoring schedule for students whom you have been assigned.

CAUTION
Only include information for ONE GROUP on this form. If you have additional groups, you must submit a schedule for EACH GROUP separately.

DO NOT put schedules for multiple groups on the same form.

Contact your regional coordinator for approval if you need a tutoring schedule different than 2 1-hour sessions per week (e.g., 3 sessions, longer sessions). If you have questions about scheduling the students' tutoring sessions, please contact your regional coordinator.

REGIONS / DISTRICTS (REVISED-READ CAREFULLY!)

NM-1: Central (Not Shiprock-use CO-1), Gallup-McKinley
NM-2: Bloomfield, Cuba, Dulce, Jemez Mountain
NM-3: Espanola, Pecos, Questa, Taos
NM-4: Las Vegas City, Raton, Springer, Santa Rosa, Wagon Mound, West Las Vegas
NM-6: Ft. Sumner, Grady, Logan, Melrose, San Jon, Tucumcari, Muleshoe (TX)
NM-7: Capitan, Carrizozo, Cloudcroft, Ft. Sumner, Hondo Valley, Ruidoso, Tularosa
NM-8: Animas, Cobre, Deming, Hatch Valley, Lordsburg, Reserve, Silver City, T or C
NM-9: Belen, Estancia, Magdalena, Mountainair, Quemado, Socorro, Vaughn
NM-10: Clovis, Floyd, Portales, Texico

AZ-1: Ceder, Chinle, Ganado, Kayenta, Pinon, Red Mesa, Window Rock
AZ-2: Alpine Elmentary, Concho Elementary, Heber-Overgaard, Holbrook, Joseph City, McNary, Sanders, Show Low, St. Johns, Vernon, Whiteriver, Winslow

CO-1: Dolores, Montezuma / Cortez, Silverton, San Juan (UT), Shiprock (NM)
CO-2: Alamosa, Centennial, Center, Del Norte, Mountain Valley, North Conejos, Sangre de Cristo, Sargent, Sierra Grande, South Conejos, Shiprock (NM)
CO-3: Pagosa

TX-1: El Paso, Fabens, Socorro (TX), Ysleta
TX-2: Las Cruces (NM)

LAST name
LAST name only (do not inclue Mr., Mrs., Sra., Dr., etc.)
Your answer
FIRST name
FIRST name only
Your answer
Tutoring region
Select only one. If you don't remember which service region you are in, review the list above or contact your regional coordinator.
Students' Names
Enter one name per line (3 or 4 students only). Enter ALL student names for ONE GROUP only. Use MULTIPLE FORMS if you have more than one group.
Your answer
Students' school
Write out the name. Don't abbreviate. Schools may have similar initials.
Your answer
Students' district
Write out the name. Don't abbreviate. Districts may have similar initials.
Your answer
Location of tutoring session
Be as specific as possible. (A school or facility name is not sufficient. Provide room numbers, too.)
Your answer
Session #1 Details
Information about the first weekly session. If you are conducting only one session per week, you will fill out this information but not information about Session #2 or Session #3.
Day of week for the first tutoring session
Tutoring session start time
Enter the time you will begin the session
Your answer
Session length
Select the time length for the session. 1 hour per session is the standard time.
Session #2 Details
If you are tutoring PreK and elementary students, you must fill out this section, too. However, if you are conducting a single 2-hour session for middle school or high school students, you may skip this section.
Day of week for the second tutoring session
Tutoring session start time
Your answer
Session length
Select the time length for the 2nd session. 1 hour is the standard time.
Session #3 Details
You may only conduct 3 sessions per week with prior approval from your regional coordinator. If you are conducting only 1 or 2 sessions per week, you may skip this section.
Day of the week for the third tutoring session
Tutoring session start time
Your answer
Session length
Select the time length for the 3rd session. 1 hour is the standard time.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms