NLVS Tutor/Supervisor Interest Form 2025

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You are receiving this form because you indicated that you would like to tutor or supervise sessions through NLVS or have volunteered with us before. Please fill out this form regarding your current interest and availability!

Name: *

School Email: *

Phone Number: *

Date of Birth *

YYYY

School *

UIC Undergrad

Loyola Undergrad

Northwestern Undergrad

UIC Medical School

Loyola Medical School

Northwestern Medical School

Rosalind Franklin University

University of Wisconsin - Milwaukee

Other:

Year: *

1st Year

2nd Year

3rd Year

4th Year

Other:

Which position would you like to be considered for: tutor, supervisor, or either? Please note that often times supervisors are higher demand. *

Tutor

Supervisor

Either

We ask that our tutors commit for one year so that our students can benefit from longitudinal tutoring. If you are signing up to be a tutor, would you be able to stay in this program for at least a year? *

Yes, including the summer

Yes, but not available to tutor in the summer

When you are paired up with a student, you will be tutoring them 2x a week with the first session being in-person for 90 minutes (broken down into tutoring, mentorship, and play-based learning) and the second session being over Zoom for 30 minutes (tutoring). These tutoring session lengths may be shorter to accommodate for your specific student's needs. Is this something you can commit to? *

Yes

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