Seeley Test Pros - Student Information
***Seeley Test Pros has moved to our new office at 20525 Center Ridge Road, Suite #611 in Rocky River***

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Student First Name: *
Student Last Name: *
Gender:
Parent First Name: *
Parent Last Name: *
Home Address (include street address, city, state, zip): *
Student Phone Number: *
Parent Phone Number: *
Student Email Address: *
Parent Email Address: *
Student’s School: *
Student’s high school graduation year: *
What is the goal that you have for tutoring? *
What upcoming test is the student registered for/plans to register for? (Example: HSPT October, ISEE January, etc) *
Student's Cumulative GPA/ Grades: *
Student's Current Math Course: *
What subjects tend to be areas of strength for this student? *
Required
What subjects tend to be areas of concern for this student? *
Required
Please share any hobbies or interests that this student has: *
How would you describe this student's current stress/anxiety level (school, testing, personal life, college admissions)? *
Has this student taken an HSPT, ISEE, SSAT, OLSAT, or SHSAT? *
Required
If you answered yes to the previous question, what were the student's scores (please list specific individual section scores, if possible)?
Does this student receive accommodations on the test? *
If you answered yes to the previous question, what kind of accommodations do they receive?
Which school is the student currently interested in? (if undecided, list N/A) *
Has the student completed any previous HSPT, ISEE, SSAT, OLSAT, TACHS or SHSAT tutoring or test preparation classes? If so, with whom or what company? *
Has this student been referred to Seeley Test Pros by a specific individual? If so, please list their name(s): *
What is the student's current motivation level for tutoring: *
Required
What style of tutoring would this student benefit most from? *
Required
Do you have a preference for a specific Seeley Test Pros tutor? If so, please list the name below.
What is your expectation for the student's ability to complete homework each week: *
Required
When does the student often have availability for tutoring?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8:00am-3:00pm (During a free period at school
3:00pm-6:00pm
6:00pm-9:00pm
Unavailable this day
What location(s) could this student meet their tutor? *
Required
How many hours of tutoring are you requesting at this time? Payment can be made by cash, check, Venmo or Paypal (5% fee). *
Required
Seeley Test Pros will attempt to accommodate scheduling changes, but only with a minimum of 24-hours notice prior to the scheduled tutoring appointment. Notice must be provided by phone, directly to the instructor. If email and/or text communications of the cancellation are provided, such are only effective upon the receipt and responsive confirmation by the instructor. Cancellations or no-shows with less than 24-hours advance notice will result in a charge of the full amount of the scheduled time. In the case of inclement weather (e.g., snowstorms) and emergencies, Seeley Test Pros will make a determination on fee waivers for late cancellations due to emergencies. *
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