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Fall/Winter 2023-24 Student Registration
Please kindly take 10 minutes and complete fully to secure a spot.
25
Questions
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Language
English (US)
1
Who is filling out this form?
*
This field is required.
Parent/Guardian
Student
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2
Name of Parent/Guardian
*
This field is required.
First Name
Last Name
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3
Parent's Email
*
This field is required.
Invoices, agreement forms, and important communication will be delivered here.
example@example.com
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4
Parent's Mobile Phone Number
*
This field is required.
In the event that your child hasn't shown up to class, we will be contacting you at this number.
Area Code
Phone Number
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5
Name of Student 1
*
This field is required.
First Name
Last Name
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6
Name of Student 2
Kindly skip the question if this doesn't apply.
First Name
Last Name
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7
Student's Email
*
This field is required.
An event invitation (with the Zoom meeting link) will be sent to this email address.
example@gmail.com
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8
Student 2's Email
Kindly skip the question if this doesn't apply.
example@gmail.com
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9
Student's Mobile Phone Number
*
This field is required.
Tutors at Math Doctor are trained to contact the student directly if the student hasn't shown up 5 minutes past scheduled time.
Area Code
Phone Number
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10
What grade is the student currently in?
*
This field is required.
As of September 2023
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11
Which school does the student go to?
*
This field is required.
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12
Precisely which subject(s) are you looking for support?
*
This field is required.
Although not required, kindly share with us the Course Code if possible.
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13
Are you looking for Homework Help or Math Enrichment?
*
This field is required.
This will give the tutor a better idea of how to organize their lesson plans.
Homework Help
Math Enrichment
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14
How does your child learn best?
*
This field is required.
We will tailor our instruction based on your response.
Visual: Learn by Seeing
Auditory: Learn by Hearing
Read/Write: Learn by Note-taking
Kinesthetic: Learn by Doing
Unsure
Visual: Learn by Seeing
Auditory: Learn by Hearing
Read/Write: Learn by Note-taking
Kinesthetic: Learn by Doing
Unsure
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15
For in-home tutoring, this map shows the area we're comfortable travelling to.
Status as of August 2023: Available
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16
Please share with us your address or closest major intersection.
*
This field is required.
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17
Which weekly tutoring plan would you like to sign up for?
*
This field is required.
Effective: August 2023
In-Home 1-on-1 Tutoring ($75 per hour)
Virtual 1-on-1 Tutoring ($65 per hour)
Virtual 1-on-1 Tutoring ($55 per 45 minutes)
In-Home 1-on-1 Tutoring ($75 per hour)
Virtual 1-on-1 Tutoring ($65 per hour)
Virtual 1-on-1 Tutoring ($55 per 45 minutes)
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18
Do you have a preference on which tutor you'd like to go with?
*
This field is required.
Preferably a Female Tutor
Preferably a Male Tutor
No Preference
Tim Chan (+$10 per session)
Other
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19
Why are you seeking tutoring?
*
This field is required.
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20
If tutoring was successful, what would that look like?
*
This field is required.
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21
What day(s) and time(s) of the week works best for the student(s)?
*
This field is required.
Kindly include 2 or 3 options.
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22
When would you like your child(ren) to start weekly tutoring?
*
This field is required.
-
Date
Month
Day
Year
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23
Anything else that would be helpful for us to know?
*
This field is required.
Do you have any questions for us?
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24
How did you hear about us?
*
This field is required.
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25
Terms and Conditions
*
This field is required.
(Updated: August 2023)
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