Request a Special Education Tutor
Welcome to Valor Tutoring! The best in person tutoring for children of Military families. Please fill out the questions below and we will contact you soon!
First Name:
Last Name:
Email:
Confirm Email:
Address:
City:
State:
Zip:
Phone Number:
Student's Date of Birth:
Relationship to Student:
Student’s current grade:
Student’s current school (District and Name):
Scheduling preferences:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Start and end times:
Location Preference:
In Home
Library
School
Other Public Place
How many sessions per week?
1
2
3
4
Does your child have a diagnosed disability? Please indicate the disability.
Does your student have/had an IEP/504?
Has a current IEP
Has a current 504
Had a IEP
Had a 504
No
If your child has an IEP what is their disability category?
Autism
Deaf-Blindness
Deafness
Developmental Delay
Emotional Disturbance
Hearing Impairment
Intellectual Disability
Multiple Disabilities
Orthopedic Impairment
Other Health Impairment
Specific Learning Disability
Speech or Language Impairment
Traumatic Brain Injury
Visual Impairment -Including Blindness
If your child has a 504, what is the purpose of the 504?
Describe student’s current area of academic need:
Subjects your student is struggling with:
Reading
English/Language Arts
Social Studies
Psychology
College Essays
History
Geography
Elem. Math
Word Problems
Pre-Algebra
Algebra I
Algebra II
Geometry
Pre-Calculus
Economics
Statistics
Trigonometry
Calculus
Finance
Accounting
Elem. Science
Biology
Physics
Physical Science
Chemistry
Astronomy
ASVAB
Executive Functioning Skills
Organizational
Social Emotional Learning
Homework Help
Exam Prep
ACT
SAT
Other:
Is your child performing at grade level? If no, indicate what grade level they are performing at.
What are your student's current grades like?
Great
good
failing one class
failing more than one class
Does your student have any health or behavioral concerns?
What are your current goals for your student?
Is someone in your family Active Duty or a Veteran?
Select
Active Duty
Veteran
How many children are in your household?
How many PCS moves has your family had?
What branch of service does/did your family member serve in?
Select
Army
Navy
Marine
Air Force
Space Force
Coast Guard
National Guard
Has your student had tutoring before? If so, in what subjects?
Do you have a tutoring provider you have used in the past that you liked?
Student's special interests/hobbies:
How did you find us?
Select
Children of Valor Grant
Folds of Honor
Navy Seal Foundation
Special Operation Warrior Foundation
Gallant Few
No Greater Sacrifice
Folded Flag Foundation
Memorial Valor Foundation
Special Operations Fund
SWIFT Robotics
Stars and Stripes
The Honor Foundation
Task Force Dagger
SOF week
MilSpouse Fest
Internet Search
Family/Friend
Social Media
Teacher/School
Other:
Please type your first and last name below certifying that you give Children of Valor permission to release your child's disability diagnosis/health information to their matched Valor Tutor.
Student information
Student Information
First Name:
Last Name:
Gender
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