Peer Tutoring Request
This is an official request for peer tutoring. Our tutoring center is open on Mondays, Wednesdays and Fridays during study hall periods. If you are filling this out on the behalf of a student, please make sure to discuss it with them. Once this form has been filled out, the student will be called down within the week to set up a schedule. Thank you for your support!
**Please note, tutor sessions are always subject to peer tutor availability. This is a peer program and there may not be a student available during all times requested.**
Who needs the tutoring? (Name of student to be tutored)
ID # of student who needs the tutoring
Study Hall Period
Specific course in which help is needed
What grade is the student in?
Explain the type of tutoring you are looking for.
More information? Use this space to give us additional information that we may need to get you set up with a tutoring schedule (i.e., is there a specific test-with date-you are studying for, are you behind on homework, etc.)
Who is requesting the tutoring?
Me (the student)
A teacher on student's behalf
Parent on student's behalf
If you are filling this out on the behalf of a student, please answer the next 3 questions.
1. Your Name
2. Email address where we can contact you
3. Relationship to student (i.e. Parent, math teacher, etc.)
Send me a copy of my responses.
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