Tutorial Class Survey at Evergreen Mingyuan School
Student Name
*
First Name
Last Name
Parent Name
First Name
Last Name
Email
*
Phone Number
Please enter a valid phone number.
Student Proficiency
None (little or no previous experience. May know a few words but cannot form sentences.)
Beginner (understands basics like numbers, colors and able to communicate in basic sentences, including asking and answering simple questions.)
Intermediate (able to read isolated phrases and able to create sentences with meaning on every day topics.)
Advanced (read simple prose and able to engage in conversations in a participatory manner.)
Student's Age
Student's Birthday
*
-
Month
-
Day
Year
Date
Has the student attended Evergreen Mingyuan before?
Yes
No
Could you please let us know your available time slots?
Monday
e.g., 10-12 noon and 2-5:30 PM
Tuesday
e.g., 10-12 noon and 2-5:30 PM
Wednesday
e.g., 10-12 noon and 2-5:30 PM
Thursday
e.g., 10-12 noon and 2-5:30 PM
Friday
e.g., 10-12 noon and 2-5:30 PM
Saturday (after 1:00 PM)
e.g., 2-5:30 PM
Sunday
e.g., 10-12 noon and 2-5:30 PM
Which options are you interested in?
One-on-One Instruction: $40 per student per hour
Paired Learning (1:2 ratio): $30 per student per hour
Small Group Classes (3-5 students): $25 per student per hour
Other information you want to let us know?
By submitting this form, you are agreeing to be added to the waiting list for tutorial classes at Evergreen Mingyuan School.
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