Request for Tutoring Services
Hello, and welcome to Tutoring with Sheryl at Midwesttutor.com. I am happy to get a chance to meet you! Please take a moment to fill out this form and I will be in touch to set up an online meet and greet. I am excited to meet you and your child. I am happy to complete a free assessment of needs. I provide that as a service, but it also helps me get to know your child as well. Thank you for filling out this form and I cannot wait to visit with you about your child. 
Email *
Point of contact for the child, include your full name and your contact information: working phone number, cell phone number (please note with a C), and working email address. *
Full name of the child needing services. *
Age and current school grade of the child needing services. *
Homeschooled, public, or private? *
What time zone are you located in? This will help Sheryl determine if her schedule can accomodate you.  *
Academic areas the student needs support in. Be as specific as you can be. The more information you provide, the better our plan will be. *
Information about the child's areas of interest. Include any areas the child excels at or enjoys participating in. *
My child has a learning plan at school.   *
Questions you have for the tutor. *
Best available time for Sheryl or another tutor to reach you to schedule a meeting. Please indicate which method (phone call, email, or text message). *
Any additional information you wish to share with Sheryl. *
Thank you for your time and interest in working with Sheryl . She will get back to you to discuss ideas and what she can offer to assist your child as they move forward with their learning. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy