Group Tutoring Questionnaire
Please fill out the form below to the best of your ability. It will help our staff group students together and schedule lessons.
Student's Name
What grade will your child be entering?
District
Have you chosen to homeschool, attend virtually only, attend a hybrid model, or attend full-time? Please explain.
Is your child getting academic support in school? If so, how often, and in what subject area?
Have you formed a Learning Pod yet, or would you like us to group your child in an appropriate learning pod for instruction?
We have our own.
We'd like you to group us.
What kind of support is your child looking for? Check all that apply.
Evidence-based reading instruction (Orton-Gillingham)
Writing support (Writing Revolution program)
Support with classwork and homework for your Learning Pod
Math support
Please select the best days and times your child may be available.
Rows
Monday
Tuesday
Wednesday
Thursday
Friday
Early morning (8-10am)
Mid-morning (10-12pm)
Early afternoon (12-3)
Later afternoon (3-5pm)
Please feel free to elaborate on your schedule if necessary.
Is there anything else you'd like us to know about your child? (motivation level, excitement about online learning, ability to attend to virtual platforms, etc.)
Parent/Guardian Contact Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: