Student Inquiry Form

Take the first step towards academic excellence

Student Information

Student Name*

Parent/Guardian Name*

Contact Information

Email Address*

Phone Number*

Academic Information

Current School*

Grade Level*

City*

State*

Please Fill Out The Following Information

Child's Age*

Which Program Would You Like Your Child To Participate In?*

1st Group (Ages 5-7): Introduction to STEAM through interactive play and basic concepts

2nd Group (Ages 8-10): Hands-on STEAM activities and fundamental principles

3rd Group (Ages 11-12): Advanced STEAM concepts and project-based learning

Would you like reoccuring sessions or a one time session to see what it's like? (please note you always change by emailing us)*

One Time Session

Reoccuring

Areas of Interest*

Schedule Preference

Click on a day to schedule tutoring hours

Monday

No hours scheduled

Tuesday

No hours scheduled

Wednesday

No hours scheduled

Thursday

No hours scheduled

Friday

No hours scheduled

Saturday

No hours scheduled

Sunday

No hours scheduled

Total Hours per Week: 0

Additional Information

Previous STEAM Experience

Learning Style and Preferences*