Requesting a Virtual Tutor
Please fill out one request form for each student you'd like to participate in the virtual volunteering program. Families must sign a consent waiver before we can match a student to a volunteer. Volunteers will look to you to assign activities/content for virtual tutoring sessions.
EDUCATOR INFORMATION
Your First Name
Your Last Name
Pronoun:
They/Them/Theirs
She/Her/Hers
He/Him/His
Mx
Custom
If your pronoun is not accurately listed, please type it in here:
School Name
Position Title
Phone
Email
School ID
STUDENT INFORMATION
Please let us know more information about the student who you would like a virtual volunteer for. This will help us find the the right fit.
Student First Name
Student Last Name
Student Email
Student Date of Birth
Student's Primary Language
Grade Level
Please select...
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Is this student a part of any of these groups?
Adult education participant
English/Dual/Multi Language Learner
Housing insecure
Newcomer
Person experiencing homelessness
Special learning abilities
Speaks a language other than English at home
TUTORING INFORMATION
Which subject(s) would you like the student to work on with the virtual volunteer?
English Language Arts
History & Social Studies
Math
Science
World Language
Which language is this student studying?
Cantonese
French
Mandarin
Spanish
Vietnamese
Please briefly describe the students academic strengths and interests:
What are the students learning goals that you would like them to develop with a virtual volunteer?
OPTIONAL: Are there any additional details that you would like us to know to successfully set expectations with virtual volunteers?
AVAILABILITY
Although this is subject to change, but for now, what is the preferred timing for the virtual tutoring sessions? These must take place on a regular schedule at the same time weekly.
Day of the Week:
Monday Morning
(8am - 12pm)
Monday Afternoon
(12pm - 4pm)
Monday Evening
(4pm - 8pm)
Tuesday Morning
(8am - 12pm)
Tuesday Afternoon
(12pm - 4pm)
Tuesday Evening
(4pm - 8pm)
Wednesday Morning
(8am - 12pm)
Wednesday Afternoon
(12pm - 4pm)
Wednesday Evening
(4pm - 8pm)
Thursday Morning
(8am - 12pm)
Thursday Afternoon
(12pm - 4pm)
Thursday Evening
(4pm - 8pm)
Friday Morning
(8am - 12pm)
Friday Afternoon
(12pm - 4pm)
Friday Evening
(4pm - 8pm)
Saturday Morning
(8am - 12pm)
Saturday Afternoon
(12pm - 4pm)
Saturday Evening
(4pm - 8pm)
Sunday Morning
(8am - 12pm)
Sunday Afternoon
(12pm - 4pm)
Sunday Evening
(4pm - 8pm)
OPTIONAL: Include more detailed scheduling information:
GUARDIAN INFORMATION
One parent/guardian is
required
to sign a waiver consenting for their child's participation in the virtual volunteering program where tutors and students will Zoom 1:1.
The Educator submitting this form is required to list an accurate
legal
guardian for this student.
The Oakland Public Education Fund takes no responsibility to identify guardianship.
Guardians are required to have email addresses.
Student must have access to a devise and the internet. If this is an issue, please connect with
TechExchange
.
I understand that I am responsible for selecting the appropriate legal guardian.
Yes
Guardian First Name
Guardian Last Name
Guardian Email
Guardian Phone
Contact Information