The Curated Mind — New Student Inquiry
Personalized 1:1 online learning for children and adults.
Basic Information
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who are you inquiring for?
Yourself
Your child
Yourself and your child
Student Details
Child’s Age (if not a child, put N/A)
Child's Grade (if not a child, put N/A)
Subject or Area of Support
Does the child have any ESL (English as a Second Language) needs?
Yes
No
Maybe
N/A
Learning Goal (e.g., improve reading comprehension, need to catch up, build math skills)
Scheduling Preferences
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday (subject to availability)
Saturday (subject to availability)
Preferred Time Range (please specify your availability)
*
Morning
Afternoon
Evening
How many sessions per week are you interested in?
1 session
2 sessions
3 sessions
4+ sessions
When are you looking to start
As soon as possible
Within the next 2 weeks
Within the next month
Just exploring for now
How did you hear about The Curated Mind?
*
Referral
Friend / Family
Social Media
Other
If you were referred, please share their name (optional)
Add any details you'd like for us to know that would help us better serve you and/or the student
Expectations Agreement
I understand that The Curated Mind offers 1:1 online sessions, availability is limited, and placement depends on tutor availability.
*
I understand and agree
Thank you for your interest in The Curated Mind.
We review inquiries carefully and will follow up within 48 hours if availability allows.
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