Request for Tutoring Assistance

Tutor Request

This request page is intended for Oklahoma Successful Adulthood (OKSA) eligible youth only. If you have questions about your eligibility, please contact us at oksa@ou.edu or 1-800-397-2945.

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* 1. What is your client ID? (Contact your worker if you don't know what your Client ID is. If your client ID is entered incorrectly we will e-mail you back. We cannot process your funds until we have a correct client ID.)

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* 2. What is your first name?

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* 3. What is your last initial?

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* 4. What is your date of birth?

What is your date of birth?

Date

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* 5. What is your e-mail address? (If you do not have an e-mail address create one or talk to your worker about a funds request.)

Email Address:

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* 6. What is your phone number?

Phone Number:

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* 7. Which best describes your custody type?

DHS Custody

Tribal Custody

In a guardianship or adoption

I exited care on or after my 18th birthday (Yes I Can! Alumni Youth)

Other (please specify)

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* 8. What grade are you in?

Other (please specify)

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* 9. What subject do you need to be tutored in?

Math

Science

English

History

Please give the name of the specific class(s) or other class if not specifically listed above

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* 10. What is the name and address of the school you are attending?

Name:

Address:

City/Town:

State:

ZIP:

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* 11. Are you on an IEP?

Yes

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* 1. What is your client ID? (Contact your worker if you don't know what your Client ID is. If your client ID is entered incorrectly we will e-mail you back. We cannot process your funds until we have a correct client ID.)

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* 2. What is your first name?

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* 3. What is your last initial?

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* 4. What is your date of birth?

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* 5. What is your e-mail address? (If you do not have an e-mail address create one or talk to your worker about a funds request.)

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* 6. What is your phone number?

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* 7. Which best describes your custody type?

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* 8. What grade are you in?

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* 9. What subject do you need to be tutored in?

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* 10. What is the name and address of the school you are attending?

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* 11. Are you on an IEP?

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* 12. Questions or comments. Click "Done" at the bottom of this survey to submit your request.