NHS Peer Tutor
Information Collection Form
This form is for students who are in need of a tutor for extra help in a subject they are struggling.
Please note that requests for tutors may be denied if the student has not previously met with their teacher for extra help during office hours at least once or twice a week. Tutoring sessions may be 30 minutes- 1 hour long depending on the arrangement made by the tutor and what works with their schedule.
Please enter a valid phone number.
Subject you need help in
Skills learning to improve through tutoring
studying before a test
strengthen understanding with extra practice
How often have you meet your teacher during office hours?
once a week
twice a week
three times a week
four times a week
I don't meet with them
Teacher's Name in the course you are struggling & specific course name (ex: Spanish II, Chemistry, Algebra
Specific Course Name
What is the best time for you to receive a tutoring session?
Before school at 7- 7:30am
During lunch 12:40-1:20pm
After school 2:30- 3:30pm
Parent or Guidance Counselor Signature
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm