Tutoring Request Form
If you're interested in learning more about my private math tutoring services and would like to request to sign your student up, please fill out the information in the form below and I will get back to you to let you know if I have availability to meet with your student for math tutoring.
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Your Name *
Email Address *
Student's Name *
Student's age and grade level (if they need a specific topic, for example Algebra 2, please specify) *
Is your student homeschooled or in public school? *
If they are homeschooled, are they currently using a homeschool math curriculum? If yes, which one?
Where are you located? (What state/time zone) *
My rate for private tutoring is $50 per hour, or some students prefer 45 minute sessions, which are $35. Which session length are you interested in? *
Are you interested in in-person (in Greensboro, NC) or online tutoring? *
How many days a week would you like us to meet? *
What days of the week is your student available to meet? (Check all that apply. I will check if I have open slots on those days and let you know what times are available to see if any will work with your student's schedule.) *
Required
Were you referred by anyone? If so, who? (Optional)
Anything else you'd like me to know? (Optional)
Thank you for your interest in my private math tutoring services, and for the information you have provided! I will get back to you in the next 24 to 48 hours to let you know if I have availability for your student. Thank you!
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