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Inquisitive Mind Tutoring Registration
Thank you for your interest in Inquisitive Mind Tutoring (IMT). Please fill out the following information and you will be contacted shortly with pricing and other details via email. Please check out our pricing guide and FAQs:
https://drive.google.com/file/d/1Nxq3jnDnVy7Jhrm-AxZKxsFz57kIVpL0/view?usp=drive_link
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* Indicates required question
Email
*
Your email
Parent's Name
*
Your answer
Parent's Phone Number
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Your answer
Student's Grade
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Undergraduate
Student's Name
*
Your answer
Student's Date of Birth
MM
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DD
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YYYY
Student's Age
*
Your answer
Student's School Name
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Your answer
Student's Phone Number
Your answer
Student's Gender
*
Male
Female
Prefer not to say
Home Address (We like to send mail on birthdays, thank you cards, and more for our students.)
Your answer
Your preferred mode of tutoring.
Virtual (2nd grade and above recommended)
In Person (Location: Collierville, TN)
*
Virtual
In Person
Either
Please specify the services you need. Select all that apply.
*
All subjects tutoring (K-12)
ACT Prep (1-on-1)
ELA Tutoring (K-12)
Math Tutoring (K-8)
Algebra 1
Algebra 2
Geometry
Pre-Calc/Calculus
Biology
Chemistry
Physics
Language: Spanish/French
AP / IB Subject - specify in last question
College Application Support: Essay writing, Scholarships, Common App
Chess ♟️ Tutoring
College Courses: Anatomy & Physiology, Microbiology, Statistics, English, College Algebra, Calculus
Other:
Required
Previous ACT/SAT score, if applicable. Please specify when the student is scheduled to take the next ACT/SAT test.
Your answer
Does the student have any learning disability?
*
Yes
No
If the student has any learning disability, please specify what it is, if it's diagnosed, and if the student takes any medication for it.
Your answer
Please select your top 2 goals of tutoring. (select 2 only)
*
Improving school grades
Improving standardized test scores (ACT, TCAP)
Improving academic confidence
Improving organizational skills
Improving academic independence
Improving behavior and attitude towards academia
Learning more content and moving ahead of curriculum and current grade level
Covering gaps from previous grade level
Required
How many days per week would you like? (Sessions are 1 hour each, 2 days/week is recommended)
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1
2
3
4
5
Estimated Start Date.
*
MM
/
DD
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YYYY
Please select your day & time preference. Select all your availability.
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
Please include anything else you'd like us to know.
What is your goal for tutoring?
(E.g. student's academic background, learning disabilities, typical grades, student's academic strengths and weaknesses, working on advanced skills or covering gaps etc.)
Your answer
How did you hear about us?
*
Choose
Friend Referral
Google
IMT Website
IMT Facebook Page
IMT Instagram
Community Events (Balloon Festival, Fair on the Square, Ninja Gym Collab etc)
Paper Flyer
IMT Email Campaign
Facebook Group
Facebook Ad
Instagram Ad
Other
If referred by a friend, please share their name.
Your answer
Would you like to set up a consultation call?
*
Yes
No
If answered yes to consultation call, please use this link to set up a time; be sure to submit this form first.
https://calendly.com/dwshngt4/imt-call
Your answer
Pricing Guide & FAQs:
https://drive.google.com/file/d/1Nxq3jnDnVy7Jhrm-AxZKxsFz57kIVpL0/view?usp=drive_link
Your answer
Promo Code
Your answer
Thank you for choosing IMT! We will email you with details soon. Check out our website and social media pages to find out more about us.
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