Tutoring application form

The Vinesh Saxena Family Foundation and LCSO are collaborating on the implementation of the TutoRépit project. We are currently building a pool of candidates for children interested in this specialized tutoring offer at a reduced cost. This initiative is made possible through the mission of the Vinesh Saxena Family Foundation, which aims, among other things, to support children and youth in their academic journey.

The TutoRépit project exclusively targets elementary school students, from 1st to 6th grade, and will be available until October 2025, with the possibility of renewal.

Currently, registrations are open only for the Longueuil and Southwest Montreal regions.

Please use the form below to submit your child's application.

Each application will be reviewed, and you will receive a response via email.

Respondent

You will receive confirmation by e-mail.

First name *

Last name *

Email *

Mobile *

Address *

City *

Country *

State/Province *

Zip/Postal code *

Autre numéro de téléphone (au travail ou à la maison)

Information about your child

First name and last name of your child *

Date of birth

What gender is your child? *

Age *

Main language spoken at home *

Other languages spoken

Name of your child's school *

School level *

Why are you asking for help for your child? *

Is your child enrolled in the school's daycare service? If so, please specify the time of their departure. *

How do you support your child on a daily basis? How involved are you in helping with homework? *

Would you be able to suggest specific approaches that could be adopted by the tutor to better meet your child's needs (e.g., activities, games, exercises)? *

Is your child seen by an orthopedagogue at school? *

Yes No

If an action plan is in progress, file it here.

Is tutoring already in place? *

Yes No

Is there already homework help in place? *

Yes No

Is your child under the care of specialists? *

Yes No

Does your child have a diagnosis that affects his or her learning? *

Yes No

If yes to the previous question, please explain how your child's academic success is affected?

Which service are you interested in? *

Tutoring - Learning Support Specialized tutoring Orthopedagogy

Subject(s) targeted for tutoring *

French Maths

Currently, our program focuses on French and mathematics, but if your child has other specific needs, please let us know:

Is there anything else you'd like to know about your child ? *

What are your child's passions and interests ?

How many people (including yourself) live in your residence? *

How many of them are children? *

What is the gross annual household income of all individuals residing under your roof? *

Less than $20,000 From $20,000 to $39,999 From $40,000 to $59,999 From $60,000 to $79,999 From $80,000 to $99,999 More than $100,000

How many people contribute to this annual income? *

1 2

What is the occupation of person 1? *

What is the occupation of person 2?

Tutoring information

How many sessions per week will your child be able to attend during the school term? *

Indicate your availability during the week for the school term *

Not available

4-5pm

5-6pm

6-7pm

7-8pm

Monday

Tuesday

Wednesday

Thursday

Friday

Indicate your availability during the weekend for the school term *

Not available

9-10am

10-11am

11-12am

12am-1pm

1-2pm

2-3pm

3-4pm

Saturday

Sunday

Would you be interested in continuity of service during the summer? *

Yes No

If so, how many sessions per week will your child be able to attend during the summer period?

Indicate your availability during the week for the summer period *

Not available

4-5pm

5-6pm

6-7pm

7-8pm

Monday

Tuesday

Wednesday

Thursday

Friday

Indicate your availability during the weekend for the summer period *

Not available

9-10am

10-11am

11-12am

12am-1pm

1-2pm

2-3pm

3-4pm

Saturday

Sunday

What would be your preferred location for tutoring? *

Please click and drag to rank the options in order of preference from 1 to 4.

≡ At home
≡ At school
≡ At the library
≡ At a cafe

Other *

In the event that a space in Longueuil or in the Sud-Ouest of Montreal becomes available, would you be able to bring your child there? *

Yes No

What amount would you be willing to pay for Tutoring - Learning Supporte services?

As an indication, a private tutoring session is billed between $35 and $55. As a sign of your commitment, we encourage you to financially contribute minimally or according to your means (between $0 and $20).

What amount would you be willing to pay for specialized tutoring services?

As an indication, a session of specialized tutoring is priced between $50 and $55. As a sign of your commitment, we encourage you to contribute financially according to your means (between $0 and $24).

How much would you be willing to pay for the orthopedagogy service?

As an indication, a private orthopedagogy support session is billed between $90 and $100. As a sign of your commitment, we encourage you to contribute financially according to your means (between $0 and $50).

Our organization recommends a contribution, but exemption may be considered. Please indicate below if your financial situation does not allow you to contribute.

Do you have any comments?

How did you hear about our program? *

Vinesh Saxena Family Foundation Website LCSO Website Social Media Posters Brochures Word of Mouth Other

Other

This request will be reviewed in the coming weeks. Feel free to contact us at tutorepit@lcso.ca if you need assistance or have any additional questions.

We respond to all requests. There is no need to fill in the forms several times, as we have many requests and our response time may vary. Thank you for your patience and trust.

LCSO
1055 rue d’Hibernia, Montréal, QC H3K 2V3
(514) 872-3456
www.lcso.ca