EOC Tutoring Program

EOC Tutoring Program

Program Year 2024.25
EOC makes every effort to accomodate requests. However, tutors are in high demand. This program is focused on helping a person enter or succeed in high school and post-secondary schooling.

This form serves as your enrollment in EOC which is a requirement to recieve our services including free tutoring.

Please select the subject or subjects below that you would like to recieve assistance in.
I am interested in receiving tutoring for:*
to select multiple-use Ctrl Key and selection
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County that you live in:
Must be either a U.S. Citizen or Permanent Resident? *
Email*
example@example.com
Cell phone*
Please enter a valid phone number.
Date Of Birth *

MonthDayYear
Date
Age *
What is your ethnicity*

Hispanic/LatinoNot Hispanic/Latino
What is your race*

American Indian or Alaskan NativeAsianBlack/African AmericanWhiteNative Hawaiian/Pacific IslanderTwo or more racesOther
Household Size*
Household Taxable Income*
Did either of your parents receive a 4-year college (Bachelor's) Degree*
Other:
Note: GED inquiries are a different form-please explain.
My highest grade completed:*
Do you have any type of learning disability?
Do you have a computer or Tablet?
Do you have Internet?
I plan to go to college in the future
Applicant Signature*

Clear
Parent Permission if a dependent of someone*

Clear
Should be Empty: