College & University Tutoring Registration Form

College & University Tutoring Registration Form
Have you done tutoring with us before?*

I am a new studentI am an existing student
Student Details:
Student Full Name*

First NameLast Name
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Phone Number*
Student E-mail*
example@example.com
Does the student have any learning disabilities?*

YesNo
Describe the students learning disabilities*
Parent Details:
Parent Full Name

First NameLast Name
Parent Phone Number
Parent E-mail
example@example.com
Tutoring Information:
School Full Name*
Available Courses (1st or 2nd year only!)*

Pre-Calculus or AlgebraCalculus 1, 2, 3, 4, or Differential EquationsLinear Algebra or Matrix AlgebraPhysicsStatics or Engineering FundamentalsDynamicsSolid Mechanics or Strength of Materials
We do not offer tutoring for MATLAB or other programming languages.
Waitlisted Courses

Calc 3, Calc 4, or Differential Equations

Solid Mechanics of Strength of Materials

Fluid Mechanics

Dynamics

Thermodynamics

Heat Transfer

Linear Circuits
Please list your courses*
When does your course start?*
When does your course finish?*

What times of the week work best for tutoring?*

Payment Plan:

all prices in CAD

We have two payment plan options:

Pay-As-You-Go (PAYG) and Prepaid 8-Hour Package

Online Pricing:

PAYG: $58 Per hour

Prepaid 8-Hour Package: $424 ($40 Savings)

In Person Pricing:

PAYG: $75 Per hour

Prepaid 8-Hour Package: $560 ($40 Savings)

Online Tutoring Availability:

Online tutoring is available for students in Canada and the US. (Pacfic Time Zone - Vancouver)

In-Person Tutoring Availability:

University of Victoria

Camosun College Lansdowne Campus

Automatic Billing:

For the PAYG plan, your card will be billed on the 1st and 15th of each month for the hours used in the previous pay period.

For the Prepaid plan, your card will be billed when your hours drop below two, with another 8 hours of tutoring.

The prepaid hours can be used at any time, used by any family member, carried over into the next semester, and any unused hours can be refunded.

All prepaid refunds are subject to a $25 admin fee.
Do you need to purchase more tutoring hours?*

YesNo, I have some leftover hours
Is the school being invoiced for tutoring?*

YesNo

Where would you like to do In Person Tutoring?*

University of Victoria LibraryCamosun College Library - Lansdowne
How did you hear about us?*

Google SearchSocial MediaOnline Classified Ads (Used Victoria, Craigslist, Kijiji, etc.)PosterReferred by School StaffReferred by TutorReferred by Student / Parent
Newsletter

Yes, subscribe me to the newsletter to get access to: Course Materials, Tutoring Updates, Co-op Jobs, etc.
By submitting this form you agree to have your payment method charged with the selected amount.

If you are on the Pay-as-you-go plan, 1 hour of tutoring will be credited and used towards your first tutoring session.
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