Kim Aycock Math Tutoring Inquiry Form
Thank you for taking a few minutes to complete this short inquiry form so that I have some baseline information about your student. At the end I will ask you to suggest dates/times in order for us to connect and discuss the possibility of me working with your student. Pricing is available for individual or group sessions in addition to multi-session packages (info will be sent to you separately upon completion of this form). I am looking forward to hearing more about how I can ignite the learning for your math student and instill confidence for exploring what is possible!
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Contact Parent Name: *
Best email address for contact parent: *
Cell phone number for contact parent: *
Is it OK for me to text you at this number? *
Required
Student Name (please complete a separate form for each student): *
Cell phone number for student: *
Is it OK for me to text/call your student to make arrangements for meeting, give reminders, and share resources? *
Required
Name of School: *
Location of School (City, State): *
Learning environment for 2020-21: *
Required
Grade of Student for 2022-2023 School Year: *
Required
Math Course for 2022-2023 School Year (check all that apply). Please note that I am not able to tutor Calculus or AP Math Classes at this time. *
Required
Name of Math textbook and/or main resource used (could be a website link): *
What 3 words best describe your student's math career up to this point: *
What 3 words best describe the vision you have for your student IN MATH at the end of the semester/school year: *
What does your student enjoy doing during free time? *
Are you wanting your student to work individually or in a small group with others taking same course (and have similar ability level)? *
Please indicate your preference for meeting: *
Let's set up a time to chat! Please suggest a few days/times that are good for you: *
Required
Time of day (for initial phone call): *
Required
In which time zone do you live? *
How would you prefer me to contact you? *
Options for payment: *
Required
Anything else that would be helpful for me to know before we hop on a call? *
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