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SFUSD FYSCP Tutor Request Form

San Francisco Unified School District

Foster Youth Services Coordinating Program (FYSCP)

SFUSD’s Foster Youth Services Coordinating Program (FYSCP) has contracted with Bay Area Educational Institute and American Council of Teachers to provide tutorial services to foster youth attending SFUSD at no cost to you. Tutoring will be provided at the school site during or after-school. There will be limited virtual tutoring available after school.
Eligibility Requirements
  • Foster youth attending school in SFUSD
  • Must have an open court dependency case, placed out of home by the delinquency court, or in legal guardianship
  • Students performing far below and below basic will be prioritized for services
  • Tutoring services offered through school-site or off-site resources are not available or do not meet the student’s educational needs
  • The parent/guardian/caregiver must provide consent for services
  • Cancellation must be provided 24 hours in advance directly to the tutor
If you have any questions or concerns, feel free to contact the FYSCP Head Counselor Susana Diaz at diazs1@sfusd.edu

Thank You.
1. Student Information
Student Name *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
Student Gender *This question is required.
Is the student Hispanic or Latino? *This question is required.
Student Race(s) - select one or more *This question is required.
If unknown, please specify "unknown"
5. Is the student receiving Special Education services? *This question is required.
6. Does the student have a Section 504 Plan? *This question is required.
7. Does the student receive speech and language services? *This question is required.
8. If the student is in high school, have they confirmed interest in tutoring? *This question is required.
8. What is the preferred language for the tutoring to be conducted in? *This question is required.
9. Does the student have access to: *This question is required.
Space Cell YesNoDon't know
Computer
Internet
10. Preferred tutoring location: *This question is required.
11. Parent/Caregiver/Guardian InformationPlease provide as much information as you can, indicate "unknown" if you don't have the information.
An email for the parent/caregiver/guardian should be provided. Upon completion of the form, an email will be automatically sent to the email listed for parent/caregiver/guardian.
If the email address of the parent/caregiver is unknown, please indicate the email for the referring party. This question requires a valid email address.
12. Caregiver/Guardian's Permission: *This question is required.
By checking this box, I give permission for an employee of Bay Area Educational Institute to provide school-based services and/or American Council of Teachers to provide virtual services.

  *This question is required.
Indicate if consent was provided directly by caregiver/guardian or by referring party on behalf of caregiver/guardian.
Consent provided by:
13. Protective Services Worker/ Probation Officer Information *This question is required.
14. Person completing form *This question is required.