Tutoring Application and Pre-Survey
Adelante Youth Alliance
Tania Milian - Program Manager

Please enter your personal email address (not school issued)
Email us if you have any questions/concerns:  adelante@adelanteya.org 

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Email *
Student Name (First, Last) *
Grade *
School *
Your Zip Code *
With you and your parent's permission, Adelante Youth Alliance Staff and tutors can assist you with grade checks to assess your academic progress. Grade checks will be done during and after tutoring sessions. Your personal information is kept confidential and will not be shared with anyone outside of our organization.
The next few questions will require answers from parents/guardians.
Do you and your parents/guardians consent to Adelante Youth Alliance Staff accessing your grades? *
Parent/Guardian Name (First, Last) *
Parent/Guardian Cell/Home Phone (Format: xxx-xxx-xxx) *
Parent/Guardian's Email
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