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Welcome to Our Family

Student's First Name

Guardian's First Name

Email

Who is filling out this form?

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If you are a Third Party, what is your relationship to the student?

Student's Last Name

Guardian's First Name

Phone Number

What grade is the student in?

What is the student's housing situation right now?

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How did you hear about us?

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Is the student a part of any one of our partner organizations?

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Is the student more comfortable with working with a male or female?

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How does the student learn best?

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What subject areas would you like us to work on during our tutoring sessions?

Are there any areas that the student is especially passionate about? (Painting, a TV show, dinosaurs, anything is applicable)

Thanks for submitting!

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Student Sign Up

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