fall 2010 schedule request
Parent's name
Student's name
Phone number
E-mail address
In what area(s) does your child require assistance for the school year?
Does your child require assistance in understanding homework assignments and/ or studying and preparing for tests?
Please indicate your preferred location for tutoring sessions to be conducted
Preferred fall start date
week of August 9th
week of August 16th
week of August 23rd
Frequency of services
weekly
several times weekly
daily
Duration of sessions
.5 hours
1 hour
1.5 hours
Please select at least three time slots that fit your schedule best.
Monday
2:45pm
3:50pm
5:00pm
6:10pm
7:15pm
Tuesday
2:45pm
3:50pm
5:00pm
6:10pm
7:15pm
Wednesday
2:45pm
3:50pm
5:00pm
6:10pm
7:15pm
Thursday
2:45pm
3:50pm
5:00pm
6:10pm
7:15pm
Friday
2:45pm
3:50pm
5:00pm
Additional Comments:
(Please note that start times may be altered slightly. Once your information has been submitted, you will be contacted and your time slots will be confirmed.)
