Valdez Educational Services

Private Tutoring
Agreement

At Valdez Educational Services, we transform academic struggle into lifelong success by pairing expert tutoring with dedicated personal mentoring. Complete the agreement below to get started — you'll also have the option to apply for a tutoring scholarship before you sign.

Parent / Guardian & Student Information

This agreement is entered into between Valdez Educational Services LLC and the family below

Parent / Guardian Name *

Student Name *

Street Address *

City *

State *

ZIP *

Cell Phone *

Home Phone optional

Email *

Emergency Contact Information

Please provide contact details for an individual who can be reached during tutoring hours if the primary parent/guardian is unavailable

Primary Contact Phone *

Emergency Contact Name *

Relationship to Student *

Emergency Contact Phone *

Services Provided

Session frequency and duration

The Student will receive academic tutoring services this many times per week:

Once Twice Three Times Four Times Five Times Other

Each session will last approximately 1 to 1.5 hours, unless otherwise agreed upon in writing.

Preferred Schedule

Select all days the student is available for tutoring sessions.

Preferred Session Time

Preferred Tutoring Format

Rate & Payment Terms

Hourly rate, schedule, and accepted payment methods

Hourly Rate: $120 per hour. Scholarships are available and can reduce your hourly rate — you'll have the option to apply in just a few more steps, before you sign.

Payments must be made in advance on a biweekly basis.

Preferred Payment Method:

Check Money Order Zelle Credit / Debit Card

Check or Money Order payable to: Valdez Educational Services. Zelle: aaronv@valdezeducation.com (please include the note "Private Tutoring"). For credit/debit card payment, call (909) 362-3620.

Cancellation & Rescheduling Policy

A minimum of three (3) hours' notice is required to cancel or reschedule a session. Sessions canceled with less than three (3) hours' notice will be charged at the full hourly rate. If the Tutor is required to cancel a session, a make-up session shall be provided at no extra charge.

Expectations & Responsibilities

Student Agrees to arrive on time, bring necessary materials, and be prepared to learn.

Parent / Guardian Agrees to ensure a quiet, safe, and suitable learning environment for all tutoring sessions.

Duration & Termination

This agreement remains in effect until terminated. Preferred initial term:

One Month Two Months Three Months Four Months Five Months Six Months Other

Either party may terminate this agreement at any time by providing at least twenty-four (24) hours' notice via email or text message.

Would you like to apply for a tutoring scholarship?

Valdez Educational Services offers scholarships that can reduce your hourly rate. We've already saved the information you entered above, so it only takes a few more minutes — and you'll find out before you sign.

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Academic Profile

Tell us about the student's school, grade, and tutoring needs

Student Date of Birth *

Gender optional

Relationship to Student *

School & Grade Level

Current School Name *

School District *

Current Grade Level *

Current GPA if known

Reading Level if known

Subjects Needing Tutoring

Select all subjects where the student needs tutoring support.

➕ Reading / Literacy

✖️ Math

🔬 Science

🌎 Social Studies

✏️ Writing / English

🔢 Algebra / Pre-Algebra

📐 Geometry

🧮 Calculus / Pre-Calc

💻 Computer Science

🇪🇸 Spanish

📝 Test Prep (SAT/ACT)

📖 Study Skills

🔤 ESL / English Learner

🎯 IEP / Special Education Support

📋 Other

📋

Financial Need & Eligibility

This information helps us award scholarships to students with the greatest need

ℹ️

Participation in any of the programs below automatically qualifies the student for scholarship consideration. All information is kept strictly confidential.

Check all programs in which the student or household currently participates:

CalFresh / SNAP (Food Stamps) Household receives food assistance benefits

Medi-Cal / Medicaid Student or household enrolled in Medi-Cal

Free or Reduced-Price School Meals Student qualifies for NSLP at current school

Foster Youth / Foster Care Student is currently or was formerly in foster care

CalWORKs / TANF Family receives cash assistance through state program

Section 8 / Public Housing Family receives housing assistance

SSI / SSDI / Disability Benefits Student or parent receives disability assistance

Title I School Enrollment Student attends a federally designated Title I school

Homeless / McKinney-Vento Family is experiencing housing instability

WIC Program Household enrolled in Women, Infants & Children

Head Start / Early Head Start Child or sibling is enrolled in Head Start program

SBCUSD Contracted Student Student referred through SBCUSD district contract

Student Background

Has an IEP (Individualized Education Plan) Student receives special education services

Has a 504 Plan Student has a 504 disability accommodation

English Language Learner (ELL) Student's primary home language is not English

First-Generation College Student Neither parent attended a 4-year college

Household Income

If no qualifying programs apply above, you may still be eligible based on household income.

Number of people in household

Annual Household Income

Documentation

📎

Uploading supporting documentation (benefit letter, IEP, report card) strengthens your application but is not required at this stage. Staff may request documents after initial review.

📂

Upload Supporting Documents

PDF, JPG, PNG, or Word — up to 10MB per file

✍️

Personal Statements

Help us understand the student's situation and goals

💡

Responses may be written by a parent or guardian on behalf of younger students. There are no right or wrong answers — be honest and specific. Each response has a 600-word maximum.

1. Academic Challenges Describe the specific academic challenges the student is currently facing. What subjects or skills are most difficult, and how have these challenges affected the student's confidence or performance?

0 / 600 words

2. Goals & Motivation What are the student's academic and personal goals? How would receiving tutoring support help the student achieve those goals?

0 / 600 words

3. Additional Information (Optional) Is there anything else you would like us to know about the student's circumstances, family situation, or special needs?

0 / 600 words

Reference / Recommendation optional

Teacher or Counselor Name optional

Recommender's Email we may contact them

Recommender's Title / Role

School / Organization

Acknowledgment & Authorization

Review, certify, and sign to complete your submission

By signing below, both parties acknowledge that they have read, understood, and agree to comply with all the terms and conditions outlined in this Private Tutoring Agreement, including the hourly rate, payment schedule, cancellation policy, and termination terms.

I have read and agree to the cancellation and rescheduling policy. I agree to the rate, payment schedule, and termination terms of this Private Tutoring Agreement. I certify that all information provided in this agreement is accurate.

By including a scholarship application with this agreement, you certify that the scholarship-related information provided (financial need and eligibility) is true, accurate, and complete to the best of your knowledge. You understand that scholarship awards are based on demonstrated need, academic fit, and funding availability, and are not guaranteed.

I certify that the scholarship information above is truthful and accurate, and I authorize Valdez Educational Services to verify eligibility with my child's school or referenced agencies.

Parent / Guardian Signature

Full Legal Name (Print) *

Date *

Signature *

Drawing your signature works best on a phone or iPad. On a desktop or laptop computer, please use "Type Signature" instead.

Use your finger or stylus to sign above

Your signature preview will appear here

Agreement Submitted!

Thank you for completing the Valdez Educational Services Private Tutoring Agreement. Your submission has been received.

Confirmation

A confirmation will be sent to your email address within 24 hours.

Countersignature

Aaron Valdez (President) will review and countersign your agreement.

Scheduling

You will be contacted to confirm your tutoring schedule.

Scholarship Review

Your scholarship application will be reviewed within 5–7 business days, and you'll be contacted with a decision.

Questions? Contact Aaron Valdez at (909) 362-3620 or Info@ValdezEducation.com

Valdez Educational Services LLC · 115 S. Waterman Ave., San Bernardino, CA 92408
Questions about this agreement? Contact Aaron Valdez at (909) 362-3620

Private Tutoring
Agreement

Parent / Guardian & Student Information

Emergency Contact Information

Services Provided

Rate & Payment Terms

Cancellation & Rescheduling Policy

Expectations & Responsibilities

Duration & Termination

Would you like to apply for a tutoring scholarship?

Academic Profile

Financial Need & Eligibility

Upload Supporting Documents

Personal Statements

Acknowledgment & Authorization

Agreement Submitted!

Confirmation

Countersignature

Scheduling

Scholarship Review

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