Tutor Waitlist Request Form Fall 2022

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Thank you for your interest in tutoring with WPTP! We will work hard to find a time slot for you.

Penn ID Number *

First Name *

Last Name *

Your Preferred Pronoun

she/her/hers

he/him/his

they/them/theirs

Other:

Clear selection

Phone Number *

Please use this format: ###-###-####

Penn Email *

Year *

First-year

Second-year

Third-year

Fourth-year

Other:

Ethnicity

American Indian or Alaskan Native

Asian

Black

Hispanic or Latino/a/x

Native Hawaiian or Pacific Islander

White

Biracial or Multiracial

Another identity not listed

Do not want to respond

Other:

Emergency Contact Name *

Emergency Contact Phone *

Relationship *

Are you a returning tutor? *

Yes

If you are returning, would you like to tutor the same tutee?

Yes

Clear selection

How did you hear about WPTP Please choose any that apply. If other, please write in how:

Flyering

Activities Fair

Dorm Flyer

WPTP Website

CS & A Night

Friend/Word of Mouth

Current WPTP Tutor

Other:

What is your preference in Subject? (select all that apply) *

Math

Science

History

English/Reading

Required

Grade Preference? *

K - Grade 3

Grade 4 - 8

Grade 9 -12

Required

I acknowledge that if I am on the tutor waitlist and have the opportunity to be matched with a potential tutee also on the waitlist, I am COMFORTABLE tutoring them in ALL of the following subjects EXCEPT: Please note that WPTP resources are always available.

K-Grade 3 Math

K-Grade 3 English/Reading

K-Grade 3 History

K-Grade 3 Science

Grade 4-8 Math

Grade 4-8 English/Reading

Grade 4-8 History

Grade 4-8 Science

Grade 9-12 Math

Grade 9-12 English/Reading

Grade 9-12 History

Grade 9-12 Science

Availability

Please make a selection below and choose the time slots that fit your schedule. Please select at LEAST two times that you are available to tutor this spring (one on-campus selection AND one off-campus time). To enhance your chances of being placed, please indicate ALL of your available times below.

On-Campus Availability

Check ALL timeslots during which you are available for at least 1.5 hours.

2:00-3:20 PM

3:30-4:50 PM

5:00-6:20 PM

6:30-7:50 PM

Sunday

3:30-4:50 PM

5:00-6:20 PM

6:30-7:50 PM

Monday

Tuesday

Wednesday

Thursday

Will you have access to a device with video-calling capability for the upcoming school year? *

Yes

Maybe

Will you be living in University City this semester? *

Yes

If you answered no to the previous question, where will you be?

If in-person tutoring becomes available at limited capacity, would you be interested in tutoring at Civic House? (3914 Locust Walk, Philadelphia, PA 19104) *

Yes

Other:

Off-Campus Availability

Note that you are much more likely to be placed if you select off-campus time-slots. Note that off-campus times include travel times to schools. Travel is provided.

Select the times you are available to tutor off-campus (Monday ONLY)

Rhoads: 1:15-3:00 PM

Morton: 9:30-11:30 AM

Monday

Select the times you are available to tutor off-campus (Tuesday and Thursday ONLY)

Morton: 9:30-11:30 AM

MiddleYears: 10:00AM-12:00 PM

Rhoads: 1:15-3:00 PM

Tuesday

Thursday

Select the times you are available to tutor off-campus (Friday ONLY)

Morton: 9:30-11:30 AM

Rhoads: 1:15-3:00 PM

Friday

Other comments/important information?

Submit

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