First and Last Name (of student who needs tutoring) *
Your answer
Please provide the parent/guardian's full name (if applicable).
Your answer
Email (please provide the student's email address if a minor will be tutored).
Your answer
Student's Phone Number *
Your answer
Parent's Phone Number (if applicable) *
Your answer
What is the age of the person who is interested in tutoring? *
Your answer
Please list the specific math skills that you would like help with (for example: Pythagorean Theorem, SAT math , GRE math or help passing a teaching exam to become a teacher etc.). *
Your answer
Is the participant currently enrolled in a math class and needs help on a regular basis with the math work they have been assigned by their teacher? *
Your answer
How many times per week would you be interested in tutoring? *
Your answer
What date are you available to start tutoring? *
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What days of the week work best for you? *
Morning
Afternoon
Evening
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Morning
Afternoon
Evening
Monday
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Where did you learn about Super Easy Math tutoring? (example: Facebook, YouTube, Craigslist, SuperEasyMath.com Website, etc.) If it was a person who is currently being tutored with SEM who referred you, please be sure to include their name. *
Your answer
Is there anything that you would like us to know before we talk? *