Class Request Form | Polaris Humanities Circle
Thank you very much for your interest in our program! We will contact you as soon as a new session is open at your desired times! 

**Course Listing

**1-on-1 Writing Coaching
https://www.polariscollegecounseling.com/private-coaching 

**Course Enrollment

**Rates for Self-arranged Study Groups
1 student: $120/hr
2 students: $70/hr 
3 students: $60/hr 
4 students: $50/hr

**Rates for 1-on-1 Writing Coaching:
5-hr package: $140/hr 
10-hr package: $120/hr

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The first email you provide below is where you will receive a response receipt. You may edit your response after submission.  
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Email *
Please check all the courses that interest you:
Student Name (First & Last) *
Student Grade *
Student School, City, State *
Parent/Guardian Name (First & Last) *
Parent/Guardian Email *
Parent/Guardian Phone Number (example: ###-###-####) *
Parent/Guardian WeChat
Students are encouraged to team up with friends at the similar academic level. If you want us to help form a group for you, please note below the class size you are comfortable with (2-4 students): *
Please share your availability by offering as many time slots as you can. This will help us coordinate and form a suitable group for you. *
To assist us to form a group, please briefly describe your student's writing ability for his/her grade level. 
How did you hear about us? *
Other information you'd like to share about your student for us to deliver a premier learning experience:
A copy of your responses will be emailed to the address you provided.
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