Document 11818660

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UW-Stevens Point America Reads
Tutor Request
Please submit a request form for each teacher requesting a tutor.
Please submit this form to Amanda Thielen, SIEO Coordinator:
Email: [email protected]
Fax: 715.346.4895
School Information
School District
School Name
Address
Phone Number
Supervising Teacher’s Information
Name of supervising teacher
Number of years teaching
Phone Number
Email
Preferred method of communication
Best time to reach
Tutor Request
Please keep in mind that America Reads tutors are only allowed to tutor K – 6 students
in the areas of reading, spelling, and vocabulary one-on-one, in small groups, or in the
classroom. Please indicate your reading tutoring needs:
Day(s) of the
Week
Number of
tutors
Time
(Include
start time
and end
time)
Type of tutoring (one-on-one, small
group, classroom)
Grade
Level
Please describe YOUR personal take on the authoritative role the tutors will play in the
classroom:
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