A2tor Tutor Request Form
Hi! Help us get to know you so that we can pair you with the tutor or group that is the best fit for you! We look forward to working with you!
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Student full name *
Student preferred pronouns *
Grade *
School *
Parent/guardian full name *
Parent/guardian email *
Parent/guardian phone number *
Please indicate whether you prefer email or text *
Student contact information (email, phone).
Subjects to focus on (choose all that apply to you) *
Required
Briefly describe why you are seeking academic support at this time. *
Briefly describe why you chose A2tor as opposed to another tutoring organization. *
Do you have an IEP or 504 plan? If so, please give any details you are comfortable sharing so that we can pair you with a tutor who is the best possible fit. *
Availability (please let us know which days/times are best for you and when you are interested in starting with A2tor). Note, the more flexibility you have, the easier it will be to find you a tutor. *
Number of sessions per week *
Session length *
How did you hear about A2tor?
Anything else we should know about you and/or any questions?
By checking the box below, I confirm I am the parent or legal guardian of the child whose name is given on this form, and I consent to my child receiving services from A2tor. I understand that A2tor cannot guarantee academic results or improvement for my student and that all A2tor tutors and leadership are high school volunteers and not professionally trained educators. I agree to have my child’s sessions recorded so they can be reviewed by A2tor Leadership, and I commit to communicating with my child’s tutor about important information regarding my child’s academics so the tutor can tailor lessons accordingly. I will communicate any concerns about my child’s participation in A2tor activities with A2tor leadership. Furthermore, I will respect the privacy of A2tor volunteers by not asking personal questions and not sharing the contact information of any A2tor volunteers with anyone outside of A2tor without the volunteer’s express consent. I further understand that if, at any time, my student’s tutor believes that my student no longer needs A2tor’s individual services, they will help my child transition into group sessions so as to share the resource of private tutors and thus benefit the community as a whole. *
Required
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