TFFC Tutoring For All Request - Tidewater Friends of Foster Care

Individual Completing Tutoring Form*

First Last

Email*

Phone*

Relationship to Student*

Tutoring Guidelines

• A Responsible Adult must be present for all tutoring sessions. Parents are responsible for providing a suitable work environment, as well as materials and supplies. • Cancellation or rescheduling of tutoring sessions requires 24-hour notice to the tutor, otherwise a session will be charged against the account. • Following each Tutoring Session, a Session Report is completed by the tutor, which is provided to the parent.

Student Information

COVID NOTICE: Tidewater Friends of Foster Care, Inc. has a Virtual Tutoring option to reduce the spread of COVID. Participating in In-Person Tutoring provided by TFFC could increase your risk and your Client’s risk of contracting COVID-19.

COVID WAIVER:*

I understand the risks associated with contracting COVID-19 and as the legal guardian consent to in-person tutoring for this student.
I do not want to have in-person tutoring and opt for virtual tutoring only.

Please read and acknowledge by clicking the appropriate box:

Student's Name*

First Last

Date of Birth*

Gender*

Student's Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School*

Grade Level*

Area(s) of Need*

Days/Times Available for Tutoring

Describe any Special Requirements for Tutoring

Is there anything else you would like us to know?

FOSTER CARE: Does this student have lived experience in the foster care system?

Yes
No

Scholarships for Foster Care Alum

If the student applicant has lived experience in the foster care system, they are eligible for a grant-sponsored scholarship. Please provide the household demographic information below to qualify. Rest assured, we will not release your personal information. We collect this information for funding eligibility and are obligated to release an annual aggregated report on grant funding allocation (for example, the number of households we served relative to income level). If you have any questions about how we use this data, or would like to receive a copy of our demographic report, please contact us at info@tidewaterffc.org.

Number of Household Members

Please enter a number greater than or equal to 1.

Number of Household Members UNDER 18 years old

Please enter a number greater than or equal to 0.

Household Income

Select an annual household income bracket below.

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Name

This field is for validation purposes and should be left unchanged.

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