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Phone Number *

(###)

###

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Preferred Method of Communication *

Email

Phone (Call)

Phone (Text)

Student's Name *

First Name

Last Name

Which program(s) are you interested in? *

AP Preparation

STEM Competitions

College Level Studies

Extracurricular Boosts

Other

What is the student's availability for tutoring sessions?

Please select all options that apply. After-school hours are 1 to 5 pm, and evening hours are 5 to 9 pm.

Weekday Afterschool

Weekday Evenings

Weekends

Flexible / Varies

How would you like your sessions delivered?

Please select all options that apply.

In-person (Visiting / Meet)

Online (Zoom)

Does the student have access to following devices:

Tablet (iPad/Galaxy Tab)

Computer (Laptop / Desktop)

Other Tools