Achievement Tutoring Program

Achievement Tutoring Program

Intake Form
The Achievement Tutoring Program is a new tutoring program through the Department of Education designed to provide reading, writing, and mathematics tutoring for eligible Arizona students. Enroll here completely FREE
Student Name *
Last Name, First Name
Student Date of Birth*

MonthDayYear
Student Grade*
Grade as of 2024/2025 School Year
Student School*
Student ID #*
Can be found on report card/ contact school
Parent/Guardian*
First name Last name
E-mail*
example@example.com
Phone Number*
Address*
Street Address
City*

Street Address

CityState / Province

Postal / Zip Code

Preferred Schedule*

Subjects:*
Subjects to be tutored on, in order of preference 1st, 2nd, 3rd, 4th. [Reading, Writing, Math, and/or ACT (9th-12th only)]

Preferred Location for Tutoring*

	Virtual	In-Home	EVTS Office	Other
Location

Does your student have a personal computer they can bring/use?*

YesNo
Is it okay to provide your child with a snack such as fruit snacks, crackers and/or water?*

YesNo
Does student have an IEP?*
If Yes, please list accommodations. If No please type "No"
Does your child have any food allergies? *
If Yes, please provide details. If No please type "No"
Any additional information about your student for tutor?
Disclaimer

Elite Vocational and Tutoring Services (EVTS), will do their best to accommodate the students desired schedule . In the case that in person tutoring is requested in which we do not have an immediate tutor available, EVTS will offer virtual services and/or give the parent/student the option to wait until the appropriate tutor can be secured. It is the right of the parent /student to choose another vendor if their needs are not being met.
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