Tutoring

Student Registration

AcademicTutoring
Student's Name*
Nickname
Date of Birth*

MonthDayYear
Age*
NOTE -If you are registering multiple children, please submit a form for each child.
Current Grade in School*
School Student Attends*
Please list any areas of weakness*
Other Areas Needing Improvement

Confidence BuildingAcademic Organization and Preparation ImprovementTest Taking StrategiesPenmanshipN/A
Tutor Preference

MaleFemaleNo Preference
Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
Parent, grandparent, guardian, etc.
E-mail (this email will be used for access to the virtual classroom)*
Cell Phone*
Program Selection

Please select the program you are interested in
Select a Program*

Academic TutoringAcademic Test PrepLearning Space/Prep Room
NOTE - Learning Space/Prep Room is a virtual class meeting where multiple students can receive help with their homework or in-class assignments. This will give the students the opportunity to complete all homework assignments while also having a helping hand from one of our tutors.
How did you hear about us?

Family/Friend/Co-WorkerReturing ParticipantSearch Engine: Google, Yahoo, MSN, etc.Social Media: Facebook, Twitter, Instagram, etc.Flyer in CommunityFlyer on TAMUK CampusOther
Tentative Schedule
Session Duration*

1 Hour2 Hours
Session Occurrence*

Once per WeekTwice per WeekThree Times per WeekOnce per MonthOther
Start Date (Tentative)

MonthDayYear
Date
End Date (Tentative)

MonthDayYear
Date
Participant's Availability*
Monday
Tuesday
Wednesday
Thursday
Friday
Policies

All policies should be read thoroughly
Refund Policy

A refund may be made under these conditions:

1) A refund will be honored if requested at least one (1) business day prior to the program start date. The $20 non-refundable registration fee will be deducted from the total refunded amount. No refunds will be processed after that date.

To request a refund under these conditions, participants will need to email the Center for Continuing Education. Once the request has been made, refunds can take up to 4 weeks to be processed. Refunds will be sent to the original method of payment (card/bank acct.).
2) A 100% refund will be given for classes/programs that were canceled by the Center for Continuing Education.

Cancellations and Reschedules

The Center for Continuing Education does not offer reschedules for session(s) missed within a program, unless the canceled session(s) are made by the department. Participants will be notified by the preferred method of contact for the rescheduled session(s).

For One-on-one courses, cancellation notices must be received 1 business day prior to the session, unless it is an emergency. Reschedules are permitted at a later date but must be completed within the same week of the canceled session. After (3) repetitive cancellations/reschedules participants will be removed from the program.
Collections Policy

If payments are not made in a timely manner, Texas A&M University-Kingsville has the right to forward all debt to an external collection agency which will increase the debt by no more than 30%. Furthermore, accounts are also reported to the State Comptroller's Office as a delinquent and will be placed on state hold.
Consent* (If applicable)

I am the parent or guardian of the minor named above and have the legal authority to execute the above release. I approve the foregoing and waive any rights in the premises.

Statement of Responsibility

I am aware that I am responsible for all program fees associated with the submission of this registration form. I understand that the participant registration to this program will be considered incomplete until my balance has been paid in full or an approved payment plan has been established with the Center for Continuing Education.

**Payment Plans are only available for Programs that are $145 or more.**
By submitting this form, I verify that all information submitted is correct and to the best of my knowledge. I have read and agree to abide by the policies listed on this application, along with all the departmental policies through the Center for Continuing Education. Departmental policies can be found on our website.

After you have submitted your Registration Form, you will be redirected to the Medical Waiver. Once you have completed the Medical Waiver, you will be redirected to Marketplace (online payment system) to make full payment of the course(s) you have registered for.

Payment Plan Options: After your submission of this form, exit from the Marketplace website and contact the Center for Continuing Education for further instructions on applying for this option.

The default method of contact to participants is through the email address submitted on this registration form unless indicated differently on the preferred method of contact.

Thank you for registering in our program(s) and we look forward to having you this semester!

Primary Contact:

Center for Continuing Education
Academic Office
Cousins Hall, RM 206
361-593-2857
conted@tamuk.edu
Parent Signature*
Parent Name*

First NameLast Name
Date Signed*

MonthDayYear
CNED Coordinator Name
Should be Empty:

Student Registration

Parent/Guardian Information

Program Selection

Tentative Schedule

Policies