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Meet with a Teacher Interest Form
A recently retired teacher will be providing tutoring/support at the Indian River Area Library for local students and their caregivers. Filling out this form tells us you are interested in receiving or having your child receive tutoring and additional educational support & resources for parents/caregivers.
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* Indicates required question
Name of Student
*
Your answer
Name of Parent/Caregiver
Your answer
Phone Number
*
Your answer
Email
Your answer
Grade
*
Your answer
Subjects or Areas for tutoring
*
Your answer
Days available for tutoring
*
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Time(s) of day that works best for you
Your answer
Are you interested in educational support & resources for parents and caregivers?
Yes
No
Other:
Clear selection
Are you interested in educational support & resources for students?
Yes
No
Other:
Clear selection
What would you like to receive through this service? (i.e., tutoring, parental/caregiver support, resources, etc.)
Your answer
Additional Comments
Your answer
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