Literacy Tutoring Program Learner Enrollment

Literacy Tutoring Program Learner Enrollment — Form Fields

This nonprofit template includes 8 fields. Enroll adult learners in one-on-one literacy and basic skills tutoring programs. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Phone Number (text, required)
• Email (if available) (email, optional)
• Current Reading Level (self-assessed) (dropdown selection, required) — options: Cannot Read, Beginning (1st-2nd grade), Elementary (3rd-5th), Middle School Level, High School Level
• Skills You Want to Improve (checkboxes, required) — options: Basic Reading, Writing, Math, Computer Skills, English as Second Language
• Availability (dropdown selection, required) — options: Mornings, Afternoons, Evenings, Weekends
• Prefer In-Person or Virtual Sessions? (multiple choice, required) — options: In-Person, Virtual, Either
• Nearest City or Neighborhood (text, required)