Proficiency Builders Statement of Tutoring Goals
Student's Name
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First Name
Last Name
Current Grade Level
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2
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8
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College Level
Adult Education
Parent or Guardian's Name
*
First Name
Last Name
Goals of Tutoring
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Describe the priority goals for this tutoring engagement: Achieve an A, Gain a better understanding of ________, Improve study skills, etc.
What subjects does your student need tutored?
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Math: Grades 2-8
Math: High School Math
Math: Advanced High School or College Level
Reading & Writing, Grades 2-8
English Language Arts: High School
Biology
Chemistry
Government/Economics
Organizational and Study Skills
Interested in Summer Prep Tutoring
Student's Extracurricular Activities/Addition Comments
What activities does student enjoy outside of school (band, baseball, reading, etc.)? Add any additional comments you feel are relevant.
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List days and time ranges during the week student is available for tutoring
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Examples of class material can be very helpful for our team. If student has examples of class material - homework, previous quizzes, syllabus, etc., please upload here for our review. Even class notes, unfinished homework, test preparation guides, etc. can be helpful.
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Student's Email (If applicable)
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Parent or Guardian's Email
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Student's Phone (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian's Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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