Academic Services Request
Thank you for choosing Central CT Tutoring for your academic support needs.  Please complete this form if you are interested in academic support services. We will respond as soon as we receive notification of your submission. 

If you have any questions, please reach us at 860-410-6071 or CentralCTTutoring@gmail.com
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Student name *
Parent name (if student is a minor)
Email address *
Phone number *
What is your choice for session location? *
What academic area will the focus be on? Do you have a goal for our sessions? (If not, we will create one together) *
What days are you interested in for student sessions? *
Required
What time of day are you interested in for student sessions? *
Required
How many sessions per week do you/your student need?
If your student requires math or reading instruction, are you comfortable with me collaborating with their teacher?
Clear selection
If your student requires math or reading instruction, can you share their most recent achievement scores from school? (Their teachers can provide a copy.)
Clear selection
Do you have any questions? Please add them here, as well as any other comments or instructions:
Where did you hear about Central CT Tutoring?
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