JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Peer Tutoring Request Form 2020-21
Please complete the following form so that we can match a peer tutor with the student as best as possible. You, the student, and the tutor will be contacted directly once a match is made.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please complete all answers to the best of your ability so that we can ensure the best tutor match.
Name of person requesting peer tutoring:
*
Your answer
Student's Name
*
Your answer
Grade
*
Freshmen
Sophomore
Junior
Senior
Subject area you are requesting tutoring in?
*
CTE
English
Fine Arts
Math
PE/Health/Driver's Ed
Science
Social Studies
World Language
Required
Name of the specific course the student is enrolled in
*
Your answer
Teacher's name
*
Your answer
Student's current grade / average
*
Your answer
**Please note that all peer tutoring will occur VIRTUALLY this year. Students will be utilizing Google Meet for the video conferences.** We will coordinate the students' schedules once a tutor match is made.
Is there any additional information that would be helpful to know (skills or topic area student is struggling in, missing assignments, low test scores, etc.)?
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Community High School District 117.
Report Abuse
Forms
