Smart Global Learning Tutoring Consult Form

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Please complete all questions to assist us with scheduling your free consultation.
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Student's Name* This field is required.Please provide the student's name or how you would like to be referred to as.
First Name
Last Name
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Parent's NameIf you are not the student please provide your name or how you would like to be referred to as.
First Name
Last Name
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Parent's Phone Number* This field is required.Please provide your most reliable contact number
5
SMS Utilization* This field is required.Are you able to receive text messages (SMS) on the phone number you provided?
Yes
No
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Email* This field is required.Please provide your email address.
example@example.com
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Ethnicity* This field is required.Please select which ethnic group(s) you belong to.
African
African-American
Caucasian
Japanese
Korean
Latin American/Hispanic
Russian
South Asian (Indian, Pakistani, etc.)
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Generation* This field is required.Based on your birth year, select which generation the student belongs to.
Alpha (2013 & Up)
GenZ (1995-2012)
Millennial (1980-1995)
Gen X (1965-1979)
Baby Boomer (1946-1964)
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Which Subject Areas Would You Like Support In?* This field is required.Select which subject(s) the student is interested in.
Vocabulary Building
Reading Comprehension
Speaking & Conversational Skills
Listening Practice
Grammar and Sentence Structure
Writing Skills
Pronunciation & Accent Reduction
Business English
Test Preparation for ESL Students
Cultural Understanding & Communication
Public Speaking
Resume Building / Interview Prep
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Additional DetailsPlease give us 1-2 goals explaining what you are hoping to achieve through your discovery session.
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Discovery Session Consultation Fee
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ORDER SUMMARY
Total costUSD
NON-Refundable Session FeeConsultation Fee is for serious inquiries only
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Payment Methods
Credit Card
First Name
Last Name
Cash App
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Apple Pay
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Thank You for your interest in Smart Global Learning Solutions {studentsName}!

Your submission has been received! Please schedule your Consultation Session on the next page. A representative will review your request and contact you within 24-72 hours to confirm the booking details. We look forward to partnering with you and/or your student. Now that you've

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