CORE Student Registration Form

Thank you for your interest in registering your child for Centre for Outreach Education (CORE) tutoring programs. By completing this form, you're taking the first step toward connecting your child with the support they need to grow both in and out of the classroom. If you have any questions or need help at any point, don’t hesitate to reach out via email to core@uvic.ca.

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* Parent/Guardian contact information

First name

Last name

Email address

Phone number

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* Student information

First name

Last name

Preferred pronoun(s)

Age

Name of current school

Current grade level

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* In what areas does the student need support? Check all that apply.

Reading

Writing

Mathematics

Science

Social Studies

Homework support

Focus and self-regulation

Confidence or motivation

Organization / following routines

Social connection

English Language Learning support

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* Please describe any specific learning challenges (if any) the student faces.

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* What are the student's strengths?

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* Are there any cultural considerations we should be aware of?

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* Is there any additional information that would help us support the student?

Note: Referral form
In addition to completing this registration form, each student must be referred by an adult who knows them well and can speak to their academic strengths and needs. This referral can come from a teacher, support staff member, youth worker, counselor, or cultural mentor. The referring adult must complete a online referral form.