BSE Online Tutoring Application
Who is filling out the application?
*
Student
Parent/Guardian
Student + parent/guardian together
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Student Phone Number
*
-
Area Code
Phone Number
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
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Student Gender
*
Female
Male
Other
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade Level (2025-26)
*
8th
9th
10th
11th
12th
Other
School Name
*
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Please briefly describe what you would like to accomplish through tutoring at BSE. If you aren't sure, let us know why you are interested in the program. Please include an estimate of how many hours a week you'd like to attend tutoring, so we can match you to an appropriate tutor.
*
How did you hear about us?
*
Family member/friend
Facebook
Instagram
LinkedIn
Counselor referral
Name + email of who referred you
Do you have any additional questions for us?
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