OAF Academy Registration Form

OAF Academy

Registration Form
Please complete the form below if you are interested in receiving tutoring services. Sessions are offered remote only. Families with up to 8 students can fill out one form. Once we receive your form, we will reach out to schedule an assessment.
Relationship to student(s)*
Mother , Father , Aunt , etc
Parent's Information

*Adult students - Fill out your own information as a parent and Student
Parent/Guardian First and Last Name*

First NameLast Name
City and State *
what city or state do you live in?
Email*
example@example.com
Secondary Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred contact method*

EmailPhoneTextPhone/TextEmail/Text
Preferred Curriculum*

Common CoreNYS Common CoreCambridgeEurekaOther
What days of the week and time are your student(s) available to be tutored?*
When is a good time to contact you about your Registration?*
Morning,Afternoon,Evening,Mondays etc
Intended start date. *

MonthDayYear
Preferred start date
Student's Information

You can register up to 8 students. If you need to add more student’s please fill out a separate registration form.
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support. ( also please indicate if you would like me to monitor your student(s) LMS I.e google classroom, canvas Edmodo etc. *
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Would you like to add another student.*

YesNo
Student *

First NameLast Name
Student's Grade*
Enter student's Grade e.x 4th Grade , Adult Ed, Pre-k etc.
Student’s Email
**This email will be used as the student’s log in on the portal. If the student doesn’t have an email a username will be generated. Parents have access to student accounts.
Does the student have an IEP or 504?Do they receive special education or intervention services at their school? If yes , please provide details. If not, put "No"*
Please choose all areas in which the student needs support.*

MathematicsELAReading/ComprehensionEnglish as a second languageGEDArtHomework HelpStudy SkillsWritingOther
Please tell us more about the areas in which the student needs support.*
Parent/Student's Signature*

Clear
Should be Empty:

OAF Academy

Parent's Information

Student's Information