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Greyson Scholars Enrollment Form
Please fill out this form as it will provide the most pertinent information for your child to receive the services you desire.
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* Indicates required question
Email
*
Your email
Student's Last Name:
*
Your answer
Student's First Name:
*
Your answer
Parent/ Guardian Name:
*
Your answer
Address:
*
Your answer
Phone Number:
*
Your answer
Best way to contact you?
*
Email
Phone
Other:
What grade is the student in?
*
Elementary School K-5
Middle School 5-8
High School
College
Other:
Do you feel the student can benefit from mentoring services, tutoring services or both?
*
Mentorship
Academic Enrichment/ Tutoring
Both
Other:
Which subject is most challenging for the student?
Mathematics
Social Studies
Science
English/ Language Arts
Religion & Spirituality
Other:
Clear selection
Which area of personal development would you like the student to improve in the most?
Social Interactions
Developing Confidence
Making Better Decisions
Becoming A Leader
Other:
Clear selection
A copy of your responses will be emailed to the address you provided.
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