WPAFB STEM Outreach
Tutor Request Form

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* 1. Teacher Information

Name:

Email:

Phone Number:

School District:

School Name:

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* 2. Student Information

First Name(s) Only:

Grade Level:

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

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* 3. Preferred Tutor Type

In-Person (during school hours)

Virtual (during school hours)

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* 4. Preferred Days and Times for Tutoring

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* 5. 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.

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* 6. 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.

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* 7. Scheduling and Coordination
Once your request is submitted, it will be shared with our volunteers. Once paired, teachers and volunteers will connect directly with each other to arrange tutoring schedules and plan sessions that best fit the student’s needs.

Please Cc me (on all email communications) for awareness, but note that the scheduling and coordination of sessions will be handled between you and the volunteer directly.

Please add aditional questions below.