Noto

~ 2026-2027 School Year ~ Student Information Form

PLEASE NOTE: WE HAVE MOVED! Our new CB tutoring center is above the Alpineer at the 4-way stop. (Up the stairs, down the hallway on the right.)

So we can best support your family, please tell us a little bit about YOUR student's needs. This gives us the chance to get to know your child through your eyes. If you have more than one child, please fill out one form for each student.

Email*

Today's Date*

Student First Name*

Student Last Name*

Parent First Name*

Parent Last Name*

Parent contact number*

Student's age*

Other:

Student's grade*

Other:

Student's Teacher last year (Gunnison Valley)

Current/past tutor with Elevated Learning

Academic areas focused on with current/past tutor

Continue with current tutor?

Other:

Goals for your child*

Tutoring location preference

Tutoring hours per week*

Times of day that work best*

8:45-9:45

9:45-10:45

10:45-11:45

11:45-12:45

12:45-1:45

1:45-2:45

2:45-3:45

3:45-4:45

4:45-5:45

5:45-6:45

6:45-7:45

7:45-8:45

High school off-period/skills workshop meeting?

Days that work best

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When would you like to begin tutoring?

How did you hear about our learning center?

Other:

Interested in small group tutoring?

Interested in scholarship fund info?

Any questions?