1.Subjects to be provided? (Check both if both are needed)

Math Tutoring 

Reading Tutoring 

2.Type of services needed?

In-school tutoring

After-school tutoring

Summer Bridge

3.Does each school location have a dedicated room for In-School tutoring from Monday to Friday?

Yes

No

4.Does each school location have a dedicated room for After-School tutoring for 2-4 days a week?

Yes

No

5.Does each school location have a dedicated room for Summer Bridge tutoring for 2-4 days a week?

Yes

No

6.Does each campus location have a dedicated liaison for the Beacon Hill Partnership?

Yes

No

7.Does your school have a dedicated budget for services?

Yes

No

8.School Campus:

9.1st Point of Contact Name:

10.Office or Cell Number:

11.Projected number of students to be served:

12.Projected # of district campuses to be served:

13.Grades to be served:

14.Tentative Start Date:

15.If known, what is the budget for services?

16.What is the budget per program? (Math or Reading)

17.What is the budget per student? (Math or Reading)

18.What is your preferred date and time to meet via Zoom to discuss this program?

19.How did you hear about our program?