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 Name Last Name
Parent/Guardian Email *
example@example.com
Student Email
example@example.com
Parent/Guardian Phone Number *
Please enter a valid phone number.
Student Phone Number
Please enter a valid phone number.
What grade are you in? *

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
School Name *
County *
State
How did you hear about us? *
Other
What do you want tutoring in? *

Math Science English
What do you want tutoring in? *

Math English Science Other ( 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) *

Yes No
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? *

Visual Auditory Tactile
Do you have a strong internet connection available to you? *

Yes No
Do you have access to an internet capable device? *

Yes No
Do you have a microphone? *

Yes No
Do you have a webcam? *

Yes No
What conferencing software are you familiar with? *

Zoom Skype Google Meet Other

When are you available *

	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