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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*
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Tutoring Needs
Subject(s) Needed*
Tutoring Frequency (please note that you can always change how often you get tutoring) *
One-Time Tutoring
Recurring Tutoring
Bi-weekly Tutoring
Weekly Tutoring
At Least Twice a Week
Schedule Preference
Click on a day to schedule tutoring hours
Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
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Total Hours per Week:
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Monday
After School Hours (3PM - 7PM)
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
Morning (9AM - 12PM)
9:00 AM
10:00 AM
11:00 AM
Afternoon (12PM - 3PM)
12:00 PM
1:00 PM
2:00 PM
3:00 PM
Evening (4PM - 7PM)
4:00 PM
5:00 PM
6:00 PM
7:00 PM
Additional Information
What are your academic goals?*
What else do you want us to know about you? (eg. Hobbies, Activities, Favorite Subject, etc.)
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