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*

BoyGirl
Age*
Date of Birth*

MonthDay Year
Date
Language spoken at home*
Language
Subject for Tutoring*
Preference*

IndividualGroupBoth
Grade in Sept 2022*
School*
School board*

CEPEOOCSBOCDSBCECCEHomeschool
Schooling option this year*

In schoolVirtual learningHomeschool
Tell us more about your child's needs?*
Tell us more about your child's challenges at school?*
Does your child have any special needs? If yes, Would you accept to describe it?*

YesNo
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
Your schedule option. This choice is not final but will be considered when making your schedule.*

MondayTuesdayWednesdayThursdayFriday
Monday

3:00 - 4:00 pm4:00 - 5:00 pm5:00 - 6:00 pm6:00 - 7:00 pm7:00 - 8:00 pm
Tuesday

3:00 - 4:00 pm4:00 - 5:00 pm5:00 - 6:00 pm6:00 - 7:00 pm7:00 - 8:00 pm
Wednesday

3:00 - 4:00 pm4:00 - 5:00 pm5:00 - 6:00 pm6:00 - 7:00 pm7:00 - 8:00 pm
Thursday

3:00 - 4:00 pm4:00 - 5:00 pm5:00 - 6:00 pm6:00 - 7:00 pm7:00 - 8:00 pm
Friday

3:00 - 4:00 pm4:00 - 5:00 pm5:00 - 6:00 pm6:00 - 7:00 pm7:00 - 8:00 pm
Would you like to book the assessment now?*

YesNo
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
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How did you hear about our services*
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Savoir Apprendre

Contact Information

Tutoring availability

Complete and send