Step One: General Tutoring Category Form

Book a Discovery Call or Complimentary Assessment
Tell us a little bit about yourself
What is the name of your school?*
Where is your school located?*

Street Address Line 2

CityState

Zip Code
Please provide your contact information.*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Tell us a little about your interest in a tutoring partnership*
(Improve standardized test scores, supplement in-class learning, just exploring options, etc.)
Please provide your contact information so we can contact you to arrange an introductory conversation.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
For what subjects does your child need tutoring?*

Math: Grades 2-8Math: High School MathMath: Advanced High School or College LevelReading & Writing, Grades 2-8English Language Arts: High SchoolBiologyChemistryGovernment/EconomicsOrganizational and Study SkillsInterested in Summer Prep Tutoring
Your Location*

Street Address

Street Address Line 2

CityState

Zip Code
Name of School
Tell us about your child's organizational skills*
We understand (after all, we are parents ourselves!).

Our PrepLogX study preparation is integrated into our tutoring and may be a good option for your student. We will share details about this with you shortly.
Is there anything in particular you would like us to know about your student?*
(Does well on assignments but struggles with exams, could use a confidence boost, etc.)
Parent or Guardian's Name*

First NameLast Name
Parent or Guardian's Email*
example@example.com
Parent or Guardian's Phone Number*
Please enter a valid phone number.
For what subjects do you need tutoring?*

Math: High School MathMath: Advanced High School or College LevelEnglish Literature/Essay WritingCollege Entrance Essay CoachingBiologyChemistryAdvanced ChemistryGovernment/EconomicsSpecific College Level ClassAdult Education (Realtor Exam, etc.)Organizational and Study SkillsOther
Tell us about your study/organizational skills*
We understand!

Our PrepLogX study preparation is integrated into our tutoring and may be a good option for your student. We will share details about this with you shortly.
Is there anything in particular you would like us to know pertaining to your tutoring needs? *
(I do well on assignments but struggle with exams, I'm struggling with a certain concept, etc.)
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Your Name*

First NameLast Name
List days and time ranges during the week student is available for tutoring *
Goals of Tutoring*
Describe the priority goals for this tutoring engagement: Achieve an A, Gain a better understanding of ________, Improve study skills, etc.
Student's Extracurricular Activities*
What activities does student enjoy outside of school (band, baseball, skiing, reading, gaming, etc.)?
Additional comments about student, or student's experience in class and school
Please add any additional comments about student's experience in class or school, including any issues with the school or teacher, unique learning challenges, scheduling concerns, etc.
Examples of class material can be very helpful for our team. If student has examples of class material - homework, previous quizzes, syllabus, etc., please upload here for our review. Even class notes, unfinished homework, test preparation guides, etc. can be helpful.

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Student's Email
example@example.com
Parent or Guardian's Email*
example@example.com
Student's Phone
Please enter a valid phone number.
Parent or Guardian's Phone*
Please enter a valid phone number.
Thank you. Click submit to move forward.
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Book a Discovery Call or Complimentary Assessment