Register for Tutoring

We're glad you're here. This is the first step toward joining the Cohort Education literacy tutoring waitlist. All responses are confidential. Please consider authorizing media release of photos, video, written work, and testimonials which allow further the mission of excellent educational opportunities for all.

After you submit this form you will receive a notification from us within 48 hours with your estimated wait until tutoring will be available.

Student's Name (First, Last)*

Child's Date of Birth*

Current Grade (if between grades, select the next grade they will enter)*

School Name*

School District:

Tell us a bit about where your child is right now in their literacy life. This will change over time and you will have opportunities to update it. You might need to check more than one of the options below.

loves books and loves to be read to

stressed or anxious about reading

knows some of the letter sounds

knows most or all of the letter sounds

can write their own name

reads on their own for enjoyment

has difficulty forming letters when writing

enjoys spelling and writing

has a dyslexia diagnosis

has a dysgraphia diagnosis

Please share anything else you want your tutor to know about your child*

This next section is about the parent or guardian of the student.

Parent/Guardian Name:*

Relationship to Child*

Phone Number*

Parent/Guardian E-mail:*

Preferred Method of Contact*

This next section is all about your preferences for tutoring.

Most of Cohort Education tutoring takes place during weekdays, in the afternoons. Tutoring typically takes place at a public library in Pasadena, CA. Some virtual tutoring is available (via Zoom). Which days can you be available for afternoon tutoring? (We will reach out to discuss your availability when you reach the top of the waitlist.)

Monday

Tuesday

Wednesday

Thursday

Friday

How long of a lesson would work best for your child right now? (considering their age, attention, preferences)*

How frequently would you like your child to receive tutoring?*

What type of tutoring would work best for your student? Note: most of the tutoring is provided in-person in Pasadena, CA at a local library. A small number of students can receive tutoring online, via Zoom if that is the best option for them.

MEDIA RELEASE

Please note, this section is voluntary. Choosing to authorize media use has no impact on your child's enrollment timeline, the quality of tutoring services, or fees incurred.

The non-profit organization, Cohort Education, Inc., may take photos of students or their work, or record tutoring activities in order share our work with the community and achieve our mission of increasing access to excellent educational experiences. If you are comfortable with this please indicate what we can use and for what purposes.

I authorize Cohort Education, Inc. to use:

photos

video of tutoring sessions

written or verbal testimonials (from me or my child)

For the following purposes:

grant reports and fundraising

training parents/teachers/tutors

Cohort Education website and e-newsletter

print materials

social media

Media Authorization*

I authorize use of media, as indicated above.

I do not authorize any media use.

Company