Tutor Request hiForm

Request Tutor

Free Tutoring Program September 2025-April 2026
Time for Tutoring*
Subject for Tutoring*
Check all that apply
School Attended*
Grade*
Briefly describe how we can help your student.
Personal & Contact Information

Please make sure all information is accurate
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Parent's Name*

First NameLast Name
E-mail
example@example.com
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By enrolling in Cornerstone Church's tutoring program, I am committing to bring my child on time unless otherwise agree upon. No shows and late arrivals of greater than 5 minutes count as a strike. After 3 strikes my student will forfeit their place in Cornerstone's tutoring program. By signing I agree to the above clause and understand it does not guarantee me a tutor. I understand tutors will be given as they become available. *

Powered by Jotform SignClear
Should be Empty:

Request Tutor