Apply to be a student Tutoring Student Application Application to participate in the Wilson Branch's tutoring program as a student. Child's Name First Last Is the child a resident of Windsor, CT, USA?* Yes No Participants in this program are required to be residents of Windsor. Parent/Guardian Name* First Last Parent/Guardian Name (2) First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* If none, type N/APreferred Phone*Phone Type* Phone - Home Phone - Cell Phone - Work Alternate PhoneWhich method would you prefer to be contacted?* Phone - Home Phone - Cell Text Message Email How would you like to be tutored?* In Person Virtually Grade level of student*Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8OtherChild's School*Clover Street ElementaryOliver Ellsworth ElementaryJFK ElementarySage Park Middle SchoolHartford Public SchoolsCREC SchoolOtherArea of help needed* English Reading Math General Homework Help Availability* Mondays 4:00-5:00 Mondays 4:15-5:15 Mondays 5:00-6:00 Mondays 5:15-6:15 Mondays 6:00-7:00 Mondays 6:15-7:15 Tuesdays 4:00-5:00 Tuesdays 4:15-5:15 Wednesdays 4:00-5:00 Wednesdays 4:15-5:15 Check all that applyHow did you learn about the program?* Returning Student Windsor Public Schools Digital Backpacks Windsor Library Newsletter Windsor Library Facebook/Instagram Facebook/Instagram (not the Library's) Friend / Family Member Flyer / Brochure in the Library Flyer / Brochure somewhere else Town of Windsor Website LP Wilson Other information you'd like us to knowPhoneThis field is for validation purposes and should be left unchanged.
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