MCAC Community Tutoring Program - Student  Registration
Registration form for students and families to receive community tutoring.

Tutoring is offered on:
Tuesdays - 4-6PM in person at Manchester City Library on Pine Street
Wednesdays - 4-8PM on Zoom
Sundays - 2- 4PM at the SEE Science Center on Bedford St. 
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Student Name: *
Student Email: *
Student's School: *
Student's Grade: *
Student's Gender: *
Student's Ethnicity: *
Primary adult contact name: *
Relationship to student: *
Primary adult email: *
Primary adult contact phone: *
How many school aged children in your household need tutoring? *
Languages spoken: *
Tutor preferences (gender, language spoken, etc): *
Subjects areas for tutoring (check all that apply): *
Obbligatorio
Weekday availability for tutoring (check all that apply):
4pm-5pm
5pm-6pm
6pm-7pm
7pm-8pm
Tuesday (In-person)
Wednesday (Zoom)
Availability for weekend tutoring at the SEE Science Center (check all that apply):
2pm -3pm
3pm - 4pm
Sunday
Do you have access to the Internet? *
Do you have a device (computer, phone, tablet, etc) to access the internet? *
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Questo modulo è stato creato all'interno di Manchester Community Action Coalition (MCAC). Segnala abuso