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TutorKit Pilot Application
At Agilix, our goal is to help you be successful. In doing so we want to support your implementation process. Please complete with application as part of the TutorKit startup process.
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* Indicates required question
Email
*
Your email
Full Name of person completing this application
*
Your answer
Who is your single point of contact that will be assigned as your point person for your TutorKit (Program Manager)?
*
Your answer
What is the email address of the program manager?
*
Your answer
Will program manager be available for a training session the week of May 16th?
*
Yes
No
Other:
Do you have a Zoom enterprise account set up?
*
Yes
Not, yet. I understand that this is a requirement for the pilot.
Other:
If there are specific programs you will focus on for the pilot, what are they? (e.g. Summer, Lunch Help, After School, Homework Help)
*
Your answer
What subjects will you be focusing on? Select all that apply.
*
Math
English
Science
History
All
Other:
Required
What grade-levels will you be focusing on? Select all that apply.
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10
11
12
All
Other:
Required
How many tutors will you have for you TutorKit pilot?
*
1-5
6-10
10-20
20-40
40+
Other:
How many students do you think will use TutorKit during your Pilot?
*
1-10
10-30
30-50
50-100
100+
Other:
When do you plan on training your tutors?
*
MM
/
DD
/
YYYY
What is the planned start date for your pilot?
*
MM
/
DD
/
YYYY
What is the planned end date for your pilot?
*
MM
/
DD
/
YYYY
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