Registration - Navigators' Tutoring Services

Student Registration

Please take a moment to complete this registration form to begin receiving tutoring services with the Navigators Program.

The questions in this registration assist our staff in reaching you quickly to arrange tutoring services and demographics for granting purposes.

If you have any questions, please contact Kaley at 907-463-7752 or khoyle@ccthita-nsn.gov

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* 1. Student's First Name

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* 2. Student's Last Name

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* 3. Parent/Caregiver's Name

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* 4. Parent/Caregiver's Primary Phone Number

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* 5. Parent/Caregiver's Primary Email Address

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* 6. Student's Primary Email Address

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* 7. Alternate email in the event primary email does not work.

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* 8. Alternate Phone number in the event the primary phone number does not work.

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* 9. Student's age

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* 10. Student Grade

6th

7th

8th

9th

10th

11th

12th

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* 11. Subjects student needs assistance (check all that apply)

English

Math

Science

History

Unsure

Other (please specify)

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* 12. Any special needs for your student?

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* 13. What is the students' Tribal Affiliation (example: Tlingit, Haida, etc.)?

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* 14. Student's School and Location

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* 15. Do you need to share any additional information or concerns with us?

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* 16. I understand that my child will work independently with the Navigator Tutor(s) in a virtual setting. I understand I am able to monitor the tutoring services during each session.

Yes