13th Man Tutorial Registration Form (NEW)

Tutorial Registration Form

Tutorial is administered through a 100% virtual platform. Each student is required to participate for an 8-week session period. Please complete the form in its entirety.
Student Name*

First NameLast Name
Grade*
Phone*

Area CodePhone Number
Email Address*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number

Area CodePhone Number
Parent Email
example@example.com

Program Selection

General Academic Tutoring (all academic subject areas) is held every Saturday from 9 am until 11 am. SAT Prep is held every Saturday from 9am until 11am. Enlistment ASVAB Prep is held every Saturday from 9am until 12pm. Practice test materials are sent to all SAT Prep participants if necessary.
Program Options*

General Academic Tutoring (Jan 7 to Feb 25)SAT Tutoring (Jan 7 to Feb 25)Enlistment ASVAB Prep
General Academic Tutoring ONLY

Please select the subject area that you need assistance with from the drop-down box below.
Subject Area
Please give specifics on the subject area content (ex. Algebra, Pre-Calculus, Integers, Reading Comprehension, etc.)
What are your goals for the tutoring program? Be as specific as possible.
Summarize your child’s academic strengths and weaknesses.
Additional Comments
SAT Prep ONLY

Please give details about your SAT Prep needs.
Have you taken the SAT before? If so, which one and when?
If you answered yes above, what were your previous scores?
Are you registered for the SAT? If so, which one and when?
What area do you feel you need the most help?
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Tutorial Registration Form