Tutoring Interest Form
Please fill out the form below so we can gather information about your child and match your child to a tutor.
Sign in to Google to save your progress. Learn more
Email *
What is your child's name? *
What grade is your child in? *
Please select which skills/content areas your child needs tutoring help in. *
Required
Do you, as your child's parent/guardian, give consent for the tutor to contact your child's teacher (classroom teacher if K-4 or content area teacher if 5-12)? Our tutors will use information received from teachers to better understand the areas in which your child needs to improve. *
If you do give consent for us to contact your child's teacher, please list your child's teacher's name (classroom teacher if K-4 or content area teacher if 5-12).
How frequently do you want your child to receive tutoring services? *
What is your name? *
How would you like to be contacted? *
What is your email address? *
What is your phone number? *
There is a fee for all tutoring sessions. Families will receive an invoice at the end of each month from Jordan Community Ed & Rec. The invoice will come through ActiveNet (registration used for all activities and memberships for Jordan Community Ed & Rec.). 

Please mark "I understand" if you understand the payment procedure. 

*Scholarships are available. 
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jordan Public Schools. Report Abuse
Google Forms