*1.Teacher Information(Required.)

Name:

School email address:

School District:

School Name:

School Address (please include zip code):

School Phone Number:

*2.This Tutoring request must come from an employee within the school/district.
Please let us know your position at the school.(Required.)

*3.What kind of tutoring help are you looking for?(Required.)

Requesting tutoring for a specific subject for a student or small group.

Requesting homework help for a student or small group.

Requesting homework help for a drop in, as needed, after-school setting.

Other (please specify)

4.Student Information:
If requesting tutoring for a specific subject for a student or small group.

First Name(s) only:

Grade Level:

Subject(s) the Student(s) Needs Help With:

5.Student Information:
If requesting homework help for a student or small group.

First Name(s) only:

Grade Level:

Subject(s) the Student(s) Needs Help With:

6.Student Information:
If requesting homework help for a drop in, as needed, after-school setting.

Grade Level:

*7.Preferred days and times for tutoring.(Required.)

*8.How long do you want each session to be?(Required.)

*9.How many visits would you like to schedule?
Will tutoring be for the month? For the quarter? Other?(Required.)

*10.Is it important or necessary that it be the same volunteer for the duration?(Required.)

*11.Tutoring Session Goals
Please provide a brief description of the student's needs and any specific goals or topics that should be focused on during tutoring sessions.(Required.)

*12.Additional Information
Is there any other information that would be helpful for the tutor to know? For example, learning style, accommodations, past struggles with the subject, behavioral issues we should be aware of.(Required.)

*13.Your volunteer will be a WPAFB employee, including federal civilians, contractors, and military personnel and must undergo a background check and fingerprinting typically initiated upon hiring.
Are there any requirements from your school or district that a volunteer must complete before tutoring begins?(Required.)

*14.Please acknowledge your awareness of the following:(Required.)

STEM Tutoring happens on school sites only.

STEM Tutoring is an in-person resource.

STEM Tutoring can be scheduled during the school day or after school.

A staff member will need to be present and/or available at all times.

STEM Tutoring must take place in an open space, or classroom, with doors continuously open.

Once your request is submitted, you will be notified it has been received, and it will be shared with our volunteers.

Once paired, teachers and volunteers will be able to connect directly with each other.
The Project Manager needs to be copied on all email communications.

*15.Do you need this request filled by a certain date?
Should I leave the request open until it is filled?(Required.)

16.Please add additional questions.

Send me a copy of my responses via email