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First name:
*
Last name:
*
Write in the name of a current tutor you would like to request. The list of tutors is available on the Patriot Tutors webpage. You may leave this field blank.
Referring teacher (if applicable):
Subject area(s):
*
Math
English
Science
Social Studies
World Language
Other
Specific Course(s):
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Homeroom teacher:
*
Homeroom number:
Email:
Phone #:
Day(s) available:
*
Tuesday
Wednesday
Thursday
Lunch:
*
A
B
C
D
Grade:
*
10
11
12
Martin J. Hayes
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