Parent/Guardian or Self *

First Name

Last Name

Phone *

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Select best description of yourself:

I am working from home.

I am outside the home.

I am currently not working.

Other

What is your preference regarding your child/children's return to school this fall? (Check all boxes that apply.) *

We recognize that plans are changing as more information comes available. Please comment to the best of your ability at this time.

My child(ren) will be attending school five days per week in person for instruction.

I will have one or more children in school full time, and one or more at home either part-time or full-time.

I will be keeping all of my children at home full-time for instruction.

My secondary school aged child will return to school designated to open part-time.

My secondary school aged child will return to school designated to open full-time.

My secondary school aged child will return to school but the opening times are not yet clear.

I am unclear as to my plans for September for one or more of my children.

Identify some of the challenges your child/children or self experience in the at-home classroom *

(check any that may apply):

school is not urgent

school is not interesting

access to school supplies, internet access, technology or other resources

technology for games and other non-school focus

limited time to devote

emotional drain

organization and time management

getting started

lack of social interaction

Other (please describe briefly in next section)

By checking this box I certify that I understand any position that involves interaction with vulnerable sectors person(s) or training of tutors will require a clear vulnerable sector check: *

I understand

Select "I understand" after reading the programs mission. *

The focus is to provide students with open discussion around what they learned last in class, found interesting and fun, and discuss how they think they should/what they need to get started on their home assigned curriculum-based work. The goal is to provide positive conversations and encouragement towards learning, not create negative associations with forcing learning outcomes. Our tutors are not trained teachers and can not be expected to provide parents with labelled "evidence of learning" such as correct worksheets, improved test scores etc. Evidence of success is measured in student engagement.

I understand

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An integral part of the program is feedback from parents, and their ability to serve as a reference for the post secondary students acting as tutors for your learners. Are you willing to provide this feedback and the references? *

I am willing to write a written reference that details our experience with our tutor.

I am willing to serve as a reference on a tutors reference list, and be contacted in the future to provide it.

I will give feedback as much as possible about our needs and how the program has impacted our family.

Please indicate if you would like to participate in our pilot, or wish to wait to admit your child to our program *

If you choose to participate in the pilot you will be required to fill out a series of questionnaires

I would like to participate in the pilot

I would like to wait. Please contact me after the pilot has been completed