Tutoring Interest Form
Fill out this form to start the conversation!
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number (provide the number that you will want to use as your main contact with me)
-
Area Code
Phone Number
What's the best way for me to communicate with you?
*
Call Me
Text Me
Email Me
Childs Name, Current School/Grade, Age (If homeschool, please specify i place of school name)
Describe your goals for tutoring. Are there certain skills or subjects to focus on? Is there a grade or milestone you are hoping to achieve?
Do you have access to school textbooks, assignments, grades etc that you are comfortable sharing with me for further context? To keep things moving quickly, please email me this information asap.
What format (or formats) are you interested in for tutoring?
Virtual
Tutoring provided at your home
Tutoring provided at my home
Tutoring provided at other location (ie library)
Other
What is your availablity for tutoring? Select all that apply.
Monday AM (8 am - Noon)
Monday PM (1:00 - 5:00 pm)
Wednesday AM (8 am - Noon)
Wednesday PM (1:00 - 5 pm)
Thursday AM (8 am - Noon)
Thursday PM (1:00 - 5 pm)
Evenings only (after 5 pm on any weekday)
Weekends only
How did you find me?
*
Thumbtack
Facebook
Instagram
Referral
Other
If "other" or "referral", please provide name who referred you or more information on how you found me.
More information will be collected later. Reviews and References can be provided upon request. Please allow 48 hours for a response.
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