VLA Tutoring Request Form 20-21
VLA Tutoring Program:

Tutoring is available at no charge by request from students and/or parents.  Tutoring is limited to 5 hours per student per week.  Anything above 5 hours per week requires approval from Wayne Local Administration.

Please complete all sections of this form.  If you have any questions, please email Sarah Snyder, VLA Coordinator:  ssnyder@wayne-local.com

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Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number (ten digits) *
Parent/Guardian email address *
Student First Name *
Student Last Name *
Student Grade Level this year *
Required
Tutoring will be done virtually (through Zoom).  When is  the student available for virtual tutoring?  Check all that apply. *
Required
Please explain what the student is struggling with.  Be specific as possible!! *
Wayne Local School District Virtual Tutoring Agreement:  1.  Check email and VM for communication with the tutor.  2.  Excessive late cancellations and/or No Shows may result in termination of tutoring services.   *
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