Getting Started

Learning for a Cause

Fill out the form to get started and we will get back to you as soon as we can. For any questions/concerns you can contact us directly at thelearningforacause@gmail.com.
Full Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Student Email
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What grade are you in?*

Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
School Name*
County*
State
How did you hear about us?*
Other
What do you want tutoring in?*

MathScienceEnglish
What do you want tutoring in?*

MathEnglishScienceOther ( HS Class, Please specify )
Do you qualify for reduced-price or free lunch at your school? (This has no bearing on your application and tutoring, and is only for internal statistics)*

YesNo
For the subject you want tutoring in is/are there any particular topics you struggle with or want to focus on?*
Do you have any materials for the subject(s) you want to be tutored in?*
What is your intended duration of tutoring? (# of sessions or indefinite)*
What type of learner are you?*

VisualAuditoryTactile
Do you have a strong internet connection available to you?*

YesNo
Do you have access to an internet capable device?*

YesNo
Do you have a microphone?*

YesNo
Do you have a webcam?*

YesNo
What conferencing software are you familiar with?*

ZoomSkypeGoogle MeetOther

When are you available*

Rows	8AM-10AM	10AM-12PM	12PM-2PM	2PM-4PM	4PM-6PM
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Any other information you want us to know?
Please verify that you are human*
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Learning for a Cause