Application for TVUSD Peer Tutoring Program at the Temecula Public Library


Student Name:
Date:

High School:

Student ID #: _
Date of Birth:
Grade Level: ­­­­­­­­­_
Phone #: (Home) _
(Cell)

Email: ­­­__

What subject(s) would you like to tutor? Please circle general subject and check specific class if desired:

English
Writing
Literature
Social Science
History
Government
Sociology
Psychology
Geography
Sciences
Biology
Chemistry
Physics
Earth/Environmental Science
Math
Basic Mathematics
Algebra 1
Geometry
Algebra 2
Pre-Calculus
Calculus
Trigonometry
Statistics


The Peer Tutoring Program runs Mon-Thurs 3:00pm - 6:00pm, and Sun 1:00pm - 5:00pm. Please mark all the days and times you are available to tutor:

1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
Monday










Tuesday










Wednesday










Thursday










Sunday






















How did you hear about our Peer Tutoring Program?


Please include references from one teacher in each subject you would like to tutor:

1) Teacher name: (print)
Email:
School: _
Subject: _
Comments:

Signature of teacher: _
Date: __

2) Teacher name: (print)
Email: _
School: _
Subject: _
Comments: _

Signature of teacher:
Date:

3.) Counselor name (print): _
E-mail:

Comments:_

Signature of counselor:
Date:

And finally….
Parent signature:
_ Date:


Please return application to:
Technology Homework Center Assistant
THCTemecula@gmail.com
TVUSD District Office: 951-676-2661
Temecula Public Library: 951-901-THC1 (8421)

We look forward to working with you! book.gif

THCTemecula@gmail.com
TVUSD District Office: 951-676-2661
Temecula Public Library: 951-693-8900
Technology Homework Center: 951-901-THC1 (8421)