Learning with Grace Student Application
Learning With Grace Tutorial exists as a Ministry of Grace Independent Baptist Church of Crownsville, Maryland with the mission of supporting local homeschool families, providing extra help for the student who has learning differences, giving them the confidence and tools they need to accomplish all that God is calling them to do.  PLEASE FILL ONE APPLICATION PER STUDENT.
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Email *
Family Name *
Student full name: *
Birthdate *
Grade entering *
Parents Name/Guardian *
Home Address *
Best contact information: Home, Cell or work (please specify #) *
Emergency Contact if you are not available(name and Cellphone) *
Best Email address (where Tutorial and tutors can communicate with you regarding your student) *
ELEMENTARY CLASSES:  PERIOD 1  8:30am
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ELEMENTARY CLASSES PERIOD  2  9:30am
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ELEMENTARY  CLASSES PERIOD 3  10:30am
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ELEMENTARY CLASSES PERIOD 4 11:30
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ELEMENTARY CLASSES PERIOD 5     1:15pm
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ELEMENTARY CLASSES PERIOD 6       2:15
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MIDDLE  and HIGHSCHOOL PERIOD 1  8:30am
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MIDDLE and HIGHSCHOOL  PERIOD  2  9:30am
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MIDDLE AND HIGHSCHOOL PERIOD 3  10:30am
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MIDDLE and HIGHSCHOOL PERIOD 4 11:30
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MIDDLE AND HIGH SCHOOL CLASSES PERIOD 5   1:15pm
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MIDDLE AND HIGSCHOOL CLASSES PERIOD 6  2:15PM
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OPTIONAL CLASSES PERIOS  3:15pm
List Subjects you are interested but have schedule conflicts(Tutors MAY BE ABLE to offer one one setting tutoring instead) *
Has your student ever been suspended, expelled, asked to withdraw from any institution?  If so, please explain. *
Has the student ever been evaluated, diagnosed or referred for evaluation for learning difficulties? if yes which? *
Has your child ever seen a counselor/doctor/ psychiatrist for any type of social, behavioral or mental concerns? Explain *
Please list how your child learns best (feel free to say not sure). *
Does your student need additional helps in classroom, read test to them, fidget items, doodling, etc. *
THERAPIES : Equipping students with the tools they need to be successful in the classroom and learners for life.  Educational Therapy helps students who struggle with a learning difference.  If your son/daughter is facing challenges in a typical classroom, Educational Therapy may be the answer. Ask for times and prices to  Sarah Donegan
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What would you say is your student’s strengths and weakness both academically and general? *
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