Student Intake Form

Page 1

1199 Training Fund
1199 Training Fund

Thank you for enrolling in a class or program with the 1199 New England Training Fund.  To be eligible for these classes or programs you must have completed your probation period at a Connecticut nursing home that contributes to the Training Fund
1199 Training Fund
Personal Information

For assistance regarding this form, contact Angela Alfieri,

Page 2

Nursing Home Information

Tutoring Policy
January 2023

Please read this policy completely and check the box at the bottom confirming that you will follow the requirements.

The Training Fund is committed to supporting our members through individual or small group tutoring. This tutoring is for our members who are attending college or are planning to attend college in the near future. In some cases, tutoring is available to anyone with an expressed need.

Eligibility: You must have completed the probation period at your job, averaging at least eight hours per week during this period (20 hours per week at some employers), and continue averaging at least this many hours during the period that you are receiving tutoring.

The Training Fund will provide such tutoring for a maximum of four hours per week; per student; per semester (additional hours may be provided at the discretion of the Training Fund staff). We will make every attempt to locate a tutor to meet academic needs.

Student Expectations

  • Respond quickly to texts, emails, and phone calls from your tutor.
  • If you need to cancel a tutoring session, call or email your instructor as soon as you know you cannot make the session, or at least 15 minutes before your session starts.
  • Meet and/or communicate with the Training Fund’s Career and College Counselor, Susan Oliver regarding your classes/courses outcome.
  • You must attempt to do all your coursework prior to your tutoring session. Tutoring sessions are not for starting your homework; its purpose is to help you when you get frustrated or confused about strategy and/or content.
  • It is your responsibility to identify and communicate to the tutor what you want to work on during your session—based on where your frustration is with the material. Bring materials that will assist your tutor in understanding course expectations and assignments, including your syllabus, your instructor’s specific assignment directions, any articles or YouTube-type materials that you would like your tutoring to review, and any other related material.
A. College Students Before you will be assigned a Training Fund tutor, you must first go to your college’s tutoring center for help. If we decide that a Training Fund tutor will better meet your needs, call Susan Oliver at 860-278-6648. No response – Do not hang up leave a voicemail with details of your concerns or request/s. If a tutor is available, whose schedule works with yours--, and there is space at the Training Fund, you will be assigned a tutor to meet with you by appointment through the end of each semester. Generally, all tutoring is one-on-one but in some cases, small groups meet with the tutor. Every semester you must re-register with the Training Fund Staff to continue with a tutor. At that time, we will consider your assignment based on the need on a case-by-case basis. 

Students not currently attending college The student should have a specific goal for the tutoring and this goal will be revisited by the tutor and the Training Fund Staff at the end of the semester. This goal will be recorded in the student’s file and progress towards the goal will be evaluated at the end of each semester by the student, tutor, and counselor and recorded in the student’s file. Such goals may include:

  • Help in preparing for a class that they plan to take in the following semester
  • Help in a particular subject area to help the student decide whether to enroll in the following semester

B. Students currently enrolled at the Training Fund Based on recommendations from their instructor, a tutor will be assigned as appropriate.

C. Complaints, allegations, or incidents of any misconduct or safety violations, regardless of the source, must be reported by the member or Tutor to the Training Fund staff immediately upon
becoming known to either Party.

Late and Absentee Policy - Courtesy Counts!

Please make every effort to be on time for your tutoring session. Call as soon as you find out you are unable to meet with the tutor. Instructors who use virtual tutoring on Zoom must be notified immediately when cannot make a tutoring session or at least 2 hours before the tutoring session would start. For in-person classes, do not wait until 15 minutes before a session begins to cancel. Our tutors travel from home and other jobs to meet with tutees.

In the case of an emergency, call the tutor first to cancel your tutoring session. Once we are back
tutoring in person, still call your tutor or the Training Fund office (860-251-6060) if you cannot

If you are late or do not show up, please note the following:

1. In-person tutoring: If you are more than 20 minutes late, your tutor has the option to leave. If you arrive late, your tutoring session will not be extended beyond the time it was originally set.

2. For virtual tutoring sessions on Zoom: If you are more than 20 minutes late, your tutor will end the Zoom meeting. You will be required to contact your tutor to reschedule and confirm the next tutoring session. If you arrive late to the Zoom meeting, the tutoring session will not be extended beyond the time it was originally set.

3. If you miss more than two tutoring sessions with no call/no-show, you will need to wait until the next semester to receive tutoring services.

Thank you for considering your tutor’s schedule!

The terms of this tutoring service agreement ("the Term") will begin on the date of signing this agreement and will remain in full force and effect until the completion of the semester OR Test Preparation date/time as stated in the member’s request and is subject to earlier termination as provided in this Agreement. The Term of this Agreement may be extended with the written consent of the Parties.

The Member/Tutee hereby agrees to engage and comply with the contract agreements listed above to provide the best professional services.

For assistance regarding this form, contact Angela Alfieri,