K-12 Connect Tutoring Registration Form

Please complete the information below and we will reach out to you with your tutor pairings and next steps.

* denotes a required field

Parent/Guardian Information





Are you a Grand Valley State University faculty/staff member? *

Electronic Signature *

I give permission for K-12 Connect staff to schedule on behalf of the student(s) listed in this form and to have access to their educational record.

Student Information


Is this student Hispanic or Latino?

Select one or more of the following races:





Pronouns (select all that apply)



Sex *






Please select the subjects your student most needs support in (select all that apply). *







Please select the subjects your student most needs support in (select all that apply). *





What days are you and your student available for your tutoring sessions? *






Please select all times you and your student are available on Mondays. *











Please select all times you and your student are available on Tuesdays. *











Please select all times you and your student are available on Wednesdays. *











Please select all times you and your student are available on Thursdays. *











Please select all times you and your student are available on Fridays. *











Please select all times you and your student are available on Saturdays. *











Please select all times you and your student are available on Sundays. *











Please select any of the below options, if they apply to your student.



Additional Students

Student 1


Is this student Hispanic or Latino?

Select one or more of the following races:





Pronouns (select all that apply)



Sex *






Please select the subjects your student most needs support in (select all that apply). *







Please select the subjects your student most needs support in (select all that apply). *





What days are you and your student available for your tutoring sessions? *






Please select all times you and your student are available on Mondays. *











Please select all times you and your student are available on Tuesdays. *











Please select all times you and your student are available on Wednesdays. *











Please select all times you and your student are available on Thursdays. *











Please select all times you and your student are available on Fridays. *











Please select all times you and your student are available on Saturdays. *











Please select all times you and your student are available on Sundays. *











Please select any of the below options, if they apply to your student.



Student 2


Is this student Hispanic or Latino?

Select one or more of the following races:





Pronouns (select all that apply)



Sex *






Please select the subjects your student most needs support in (select all that apply). *







Please select the subjects your student most needs support in (select all that apply). *





What days are you and your student available for your tutoring sessions? *






Please select all times you and your student are available on Mondays. *











Please select all times you and your student are available on Tuesdays. *











Please select all times you and your student are available on Wednesdays. *











Please select all times you and your student are available on Thursdays. *











Please select all times you and your student are available on Fridays. *











Please select all times you and your student are available on Saturdays. *











Please select all times you and your student are available on Sundays. *











Please select any of the below options, if they apply to your student.



Student 3


Is this student Hispanic or Latino?

Select one or more of the following races:





Pronouns (select all that apply)



Sex *






Please select the subjects your student most needs support in (select all that apply). *







Please select the subjects your student most needs support in (select all that apply). *





What days are you and your student available for your tutoring sessions? *






Please select all times you and your student are available on Mondays. *











Please select all times you and your student are available on Tuesdays. *











Please select all times you and your student are available on Wednesdays. *











Please select all times you and your student are available on Thursdays. *











Please select all times you and your student are available on Fridays. *











Please select all times you and your student are available on Saturdays. *











Please select all times you and your student are available on Sundays. *











Please select any of the below options, if they apply to your student.



How did you hear about us? *






Human Verification *



Page last modified February 15, 2024