Language
English (US)
Tutor Registration Form
STAIR Virtual Tutoring Program - Spring 2021
Tutor Information
Name
*
First Name
Last Name
Email
*
example@example.com
Primary Phone Number
*
-
Area Code
Phone Number (ex: 899-0820)
Secondary Phone Number
-
Area Code
Phone Number (ex. 899-0820)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
Ex. 06/07/1954
Gender
*
Female
Male
Prefer not to answer
Are you a returning tutor?
*
Yes
No
If you are a returning tutor, did you tutor in Fall 2020?
*
Yes
No
If you are new to STAIR, how did you hear about STAIR?
Friend or Co-Worker
Internet
Advertisement
Church or School
Social Media
Tutoring Preferences
Please check the day(s) and time(s) that you are available to tutor below. STAIR programming takes place on Mondays, Tuesdays, Wednesdays and Thursday between 4:00 p.m. - 6:30 p.m. or Saturdays between 9:30 a.m. - 12:30 p.m. The Spring 2021 program will run from the week of February 1 to the week of March 29.
Tutoring Availability on Monday (please mark all that apply)
*
I am not available to tutor on Mondays.
I am available to tutor on Monday from 4:00 p.m. - 5:00 p.m.
I am available to tutor on Monday from 4:30 p.m. - 5:30 p.m.
I am available to tutor on Monday from 5:00 p.m. - 6:00 p.m.
I am available to tutor on Monday from 5:30 p.m. - 6:30 p.m.
Tutoring Availability on Tuesday (please mark all that apply)
*
I am not available to tutor on Tuesdays.
I am available to tutor on Tuesday from 4:00 p.m. - 5:00 p.m.
I am available to tutor on Tuesday from 4:30 p.m. - 5:30 p.m.
I am available to tutor on Tuesday from 5:00 p.m. - 6:00 p.m.
I am available to tutor on Tuesday from 5:30 p.m. - 6:30 p.m.
Tutoring Availability on Wednesday (please mark all that apply)
*
I am not available to tutor on Wednesdays.
I am available to tutor on Wednesday from 4:00 p.m. - 5:00 p.m.
I am available to tutor on Wednesday from 4:30 p.m. - 5:30 p.m.
I am available to tutor on Wednesday from 5:00 p.m. - 6:00 p.m.
I am available to tutor on Wednesday from 5:30 p.m. - 6:30 p.m.
Tutoring Availability on Thursday (please mark all that apply)
*
I am not available to tutor on Thursdays.
I am available to tutor on Thursday from 4:00 p.m. - 5:00 p.m.
I am available to tutor on Thursday from 4:30 p.m. - 5:30 p.m.
I am available to tutor on Thursday from 5:00 p.m. - 6:00 p.m.
I am available to tutor on Thursday from 5:30 p.m. - 6:30 p.m.
Tutoring Availability on Saturday (please mark all that apply)
*
I am not available to tutor on Saturdays.
I am available to tutor on Saturday from 9:30 a.m. - 10:30 a.m.
I am available to tutor on Saturday from 10:00 a.m. - 11:00 a.m.
I am available to tutor on Saturday from 10:30 a.m. - 11:30 a.m.
I am available to tutor on Saturday from 11:00 a.m. - 12:00 p.m.
I am available to tutor on Saturday from 11:30 a.m. - 12:30 p.m.
Preferred tutoring day:
*
Monday
Tuesday
Wednesday
Thursday
Saturday
I don't have a preferred day.
Please provide any additional information regarding your schedule that you would like to share with STAIR.
Emergency Contact
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
-
Area Code
Phone Number
Tutor Agreement
As a part of the STAIR team, we ask that you make a commitment, to the best of your ability, to protect the interests of STAIR and the students we serve. Please read and agree to these expectations.
I understand that in order to serve as a tutor I am required to pass a background check. Returning tutors will be contacted if a new background check is required.
*
Yes, I understand that I have to pass a background check.
I give STAIR permission to use my photograph and/or first name in publicity materials - videos, newsletters, presentations and social media.
*
Yes, I give STAIR permission to use my photograph and/or first name in publicity materials.
Tutors are expected to follow the provided curriculum and to only make changes or supplements to it with the approval and help of the Program Director and STAIR staff. STAIR's curriculum was designed to help students learn the necessary grade-level foundational literacy skills.
*
Yes, I confirm that I have read, understand and agree to the above policy.
I will not offer academic suggestions to parents (i.e. your child should be evaluated for an IEP, your child needs to be retained in his or her current grade, etc.) This will be handled by my STAIR Program Director and staff.
*
Yes, I confirm that I have read, understand and agree to the above policy.
I will make the best effort to inform STAIR of any impending absences as far in advance as possible and will work to reschedule any missed tutoring session with my student. I understand that consistency with my student is a key factor in his or her success.
*
Yes, I confirm that I have read, understand and agree to the above policy.
I understand that my conduct as a tutor is a reflection on the STAIR program-thus the need to act in an ethical and professional manner is important. If a volunteer's conduct is determined to be detrimental to the program, STAIR reserves the right to terminate the volunteer's services.
*
Yes, I confirm that I have read, understand and agree to the above policy.
Optional Information
Optional: Are you fluent in any language other than English? Are you proficient enough in the language to be able to speak to a parent or translate materials?
Optional: Do you have any other information or comments that you would like to share with STAIR?
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