Savoir Apprendre English Tutoring Request

Savoir Apprendre

We require some basic information to begin the tutoring process. Please fill out the form the best you can.
Student's Name *

First Name Last Name
Gender *

Boy Girl
Age *
Date of Birth *

Month Day Year
Date
Language spoken at home *
Language
Subject for Tutoring *
Preference *

Individual Group Both
Grade in Sept 2021 *
School *
Schooling option this year *

In school Virtual learning
Tell us more about your child's needs?
Tell us more about your child's challenges at school?
Does your child have an handicap? If yes, Would you accept to describe it?

Yes No
Please describe
Contact Information

To get a hold of you
Parent's Name *

First Name Last Name
E-mail *
Phone Number 1 *

Area Code Phone Number
Phone Number 2

Area Code Phone Number
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Preferred communication Language *
Tell us more
Tutoring availability
Indicate all your availability for tutoring *

Monday Tuesday Wednesday Thursday Friday Sunday
Monday

4:30 - 5:30 pm 5:30 - 6:30 pm 6:30 - 7:30 pm 7:30 - 8:30 pm
Tuesday

4:30 - 5:30 pm 5:30 - 6:30 pm 6:30 - 7:30 pm 7:30 - 8:30 pm
Wednesday

4:30 - 5:30 pm 5:30 - 6:30 pm 6:30 - 7:30 pm 7:30 - 8:30 pm
Thursday

4:30 - 5:30 pm 5:30 - 6:30 pm 6:30 - 7:30 pm 7:30 - 8:30 pm
Friday

4:30 - 5:30 pm 5:30 - 6:30 pm 6:30 - 7:30 pm 7:30 - 8:30 pm
Would you like to book the assessment now? *

Yes No
The time you are about to pick is the suggested times where we usually have availability to do assessments. We will contact you to confirm the day and time.
Book the assessment
Complete and send
How did you hear about our services *
Please verify that you are human *
Should be Empty:

Savoir Apprendre

Contact Information

Tutoring availability

Complete and send