Horizons for Youth Tutor Request 2022-2023
Horizons for Youth aims to enrich the academic experience of each of our students. To do so as effectively as possible we consider, and invite you to consider the following expectations:

1. The student is engaged in school, maintaining a 90% in-school attendance rate. (including virtual learning)
2. The student will participate in tutoring for a minimum of 16 hours.
3. The student will complete interval assessment (pre- and post- surveys and evaluations).
If virtual:
4. The student has access to functional tech equipment needed for tutoring during their designated time.
5. The student is in an environment conducive for learning during their designated tutoring time.

Note: If requesting tutoring for study skills and support, the student(parent) will bring or upload materials needed for each tutoring session.

To request tutoring to support your child's academic achievement, please complete this form. If you have any questions, please contact Chanita Jones (Director of Academic Support Services) via email at chanita@horizons-for-youth.org.
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Email *
Student's Name *
Grade Level *
Student's School *
Parent Name *
Parent Email *
Student's Email (if applicable)
Parent Phone Number *
Does your student have an IEP or 504 Plan? *
I agree to make sure my child attends at least 7 out of every 10 sessions (maintain 70% attendance). I will notify the tutor (and center manager) of any absences.  *
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