Student First name
Student Last name
Parent/Guardian Name:
Parent/Guardian Email
Parent/Guardian Phone
How many 1-hour sessions are you seeking per week?
Intended tutoring start date (2026-2027 academic year tutoring begins the week of 9/14/26)
Month
Day
Year
Do you anticipate any changes to your student's schedule during the school year? (i.e. seasonal sports, travel, other commitments, etc)
Student Availability (check all that apply)
Sundays 9am-10am
Sundays 12pm-1pm
Sundays 1pm-2pm
Sundays 4pm-5pm
Sundays 5pm-6pm
Sundays 6pm-7pm
Mondays 230-330pm
Mondays 330-430pm
Mondays 430-530pm
Mondays 530-630pm
Wednesdays 230-330pm
Wednesdays 430-530pm
Wednesdays 530-630pm
Thursdays 230-330pm
Thursdays 330-430pm
Thursdays 430-530pm
Thursdays 530-630pm
Thursdays 630-730pm
Are you interested in any of the small group options for open math/science help?
Wednesdays 330-430pm
Thursdays 730-830pm
Sundays 2-4pm
What subject(s) is your student seeking tutoring for?
Academic Reading Program
Math Skill Strengthening
7th grade math
8th grade math
Algebra 1
Geometry
Algebra 2
Pre-Calculus
Calculus
Regents Earth & Space Sciences
Regents Biology
Regents Chemistry
Regents Physics
Spanish 1-4
AP Biology
AP Chemistry
AP Physics
AP Environmental Science
AP Statistics
AP Language & Composition
AP Literature
AP Psychology
AP World History
AP US History
ACT Prep
SAT Prep
PSAT Prep
College Applications/College Essays/Scholarships/Resume Work
Study Skills/Time Management/ Executive Function
Grammar/Spelling/Vocabulary
Essay Writing/Research Papers
Reading Comprehension
Grade 7 General Readiness
Grade 8 General Readiness
Grade 9 General Readiness
Grade 10 General Readiness
Grade 11 General Readiness
Grade 12 General Readiness
College Readiness
50 states/capitals/US & World Geography
Reading an analog clock
Counting change/money
Cursive writing
Anxiety/Stress Management
Other
Anything other subjects you're seeking tutoring for? Please specify.
Anything helpful for me to know about your student (i.e. learning style, IEP/504 plan, strengths/weaknesses etc.)
Submit
Academic Year Individual Tutoring Request Form