Tutoring Registration Form

2024 Fall Semester Tutoring Student Registration Form

Please look at our tutoring schedule and choose a day and time to log into this form. Anything outside of those days and times will be rescheduled through email contact. You will need to fill out a form every time you have a tutoring session with The Black Women STEM Group Inc. Please keep an eye your email because a zoom link will be sent to the email provided for the day and time selected. Thank you again for stopping by…
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
E-mail
example@example.com
Mobile Number
Phone Number
Work Number
Number of Sessions
Tutoring Date

MonthDayYear
Date
Tutoring Time*

Hour Minutes

AM/PM Option
Tutoring Subject (please be sure to check the posted schedule for days and times)
Please provide 3 math or science questions you would like to work on
Should be Empty:

2024 Fall Semester Tutoring Student Registration Form