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Debbie1030
2024-11-19T23:50:48+00:00
Registration
Student Application Form
Parent/Guardian Name :
Student Full Name :
*
Email :
*
Phone Number :
*
Address :
*
Grade Level :
*
Which areas does your child need to focus on?
*
Phonological Awareness
Phonics
Fluency
Vocabulary
Comprehension
Writing: (Handwriting, Essay, Grammar, Creative Writing)
Basic math skills: (Addition, Subtraction, Multiplication and Division)
Fractions and Percentages
Number Sense and Operation
Pre-Algebra
Algebra I
Geometry
Algebra II
Pre-Calculus
Calculus
Trigonometry
Other __________ (specify)
Other area that your child need to focus on :
What days work best for tutoring?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (morning only)
What times work best for tutoring?
*
Morning
Afternoon
Evening
Do you need one-time tutoring or ongoing tutoring?
*
one-time
on-going
Has your child had tutoring services before?
*
Yes
No
If your child had tutoring before, was it useful? Why or Why not?
*
Is your child receiving Special Education Services?
*
Yes (Specify)
No
Do you have any questions or concerns?
*
Yes (Specify)
No
Get an appointment
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