2023-2024 Tutoring Program Enrollment FORMEach student will have one or two 1-hour sessions per week! Student Name * First Name Last Name Parent Name (Optional) First Name Last Name Student's Email * please provide the best email for ongoing communication Parent's Email (optional) Phone Number (optional) (###) ### #### State * Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Student's Age * Select One 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Grade * Select One Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th College Student Subject(s) you would like tutoring in: * SAT ACT Math Science Writing Course Name (ex. AP chemistry, physics 1, statistics, etc). * Is your student learning in-person or at-home? In-Person At-Home Preferred Tutoring Dates * Tutoring sessions are 1-2x per week. Each session is 1 hour. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Message Please provide additional information (topics to cover, potential learning curves, etc.) Thank you for submitting the Fall 2022 Tutoring form!