Tutoring Request Form

TUTORING REQUEST FORM
***SPECIAL*** Partner with a friend for double-up tutoring and get $5 USD off the hourly rate!

WHAT IS INCLUDED

When you sign up for tutoring you get:
- Personalized sessions in an interactive virtual classroom
- Video recordings of each session for later review anytime
- FREE access to comprehensive PowerPoint notes for the entire syllabus
- Assignments and practice tests with answer sheets to assess your knowledge
- WhatsApp support
General Tutoring Hours

Mondays - Fridays 9.00 am to 7.00pm

Please Note: Your actual selected times will depend on my current schedule/availability.

My online classes (group sessions) are held Mondays to Thursdays 5.00-6.00pm.
Please complete the form below.
Select the type of tutoring

IndividualDouble-up (complete separate forms for each student)
Select your subject(s)*

CSEC BiologyCSEC Human and Social Biology
Which type of learner are you/your child?

School studentSchool leaverAdult learner
If you selected school student, which school do you/your child attend?
State the specific topics on the syllabus you would like to focus on in your tutoring sessions*
State your preferred day(s) and time(s) for tutoring and the number of hours you would like to do each day chosen.*
Contact Information
Student's Name*

First NameLast Name
Date of birth

MonthDayYear
Student's E-mail Address
Student's Cell Phone Number*

Area CodePhone Number
Parent's Name (necessary for school students)

First NameLast Name
Parent's E-mail Address
Parent's Cell Phone Number*

Area CodePhone Number
Home Phone Number*

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
*For Double-Up Tutoring (give name of study partner)

First NameLast Name
Select your mode of payment*

Bank Deposit or Online Transfer (Barbadian residents)Wire Transfer (Regional Students)Western Union Money Transfer (Regional students)PayPal (Regional Students) [Additional fee applied. See below for details.]
Bank Deposit/Transfer/Wire Transfer: Please contact me for banking details.

Paypal Payments: An additional fee of $20 USD will be applied to each PayPal payment made. This is due to the fee deducted from PayPal and the charge to transfer PayPal funds to my bank account.

Western Union Transfer: An invoice will be prepared for you to take to Western Union to make the payment.

Please note the below currency conversion. The payment sent in your currency should be equal to the amount in Barbados dollars as stated below:

Amount in USD= Amount to send in Barbados dollars (BBD)

e.g. $30 USD = $60 BBD
Should be Empty:

Please complete the form below.

Contact Information