A+ Tutoring
"Here to Help A Child Reach Success"
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Application Form
*Parent's Name
*Phone Number:
*Address:
*Child's Name:
*What grade is the child currently in?
-Select a choice-
3rd
4th
5th
6th
7th
8th
9th
*What school does your child attend?
*Has your child recieved previous tutoring?
-Select a choice-
Yes
No
*What subject(s) does the child require assistance?
Math
Science
Social Studies
English
Spanish
Other
*Does your child have any medical problem(s) or on any medication? If so, what?
Yes, my child has a severe case of asthma and needs his medicine at all times. or No, my child does not have any medical issues
*Where would you like to have your child tutored? (We will try to fit in as well as possible)
Your house
The tutor's house
The library
School
*I Have Read The Terms Listed On the Hompage
Yes, I have read and agree to all the terms listed on the homepage
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