Tutoring Form – E=MC2

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Tutoring

Contact us about your tutoring needs. We can personalize a plan using the information you provide.

Student's Name *

Guardian's Name *

Email Address *

Phone Number

Type of Tutoring

In-Person
Online

Grade Level *

Under 7th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Post High School

Subject for Tutoring

Proficiency in Subject

Selected Value: 0

Current (or most recent) Grade in the Subject

A
B
C
D
F

Student's Study Habits

How does your student currently study or prepare for class and/or tests. Just a brief overview of their study habits and time spent on subject per day would be acceptable.

Name of the Textbook being Used (with ISBN)

Optimal Start Date

Immediately
Within Two Weeks
Within a Month
Within Two Months
Other

Best Day(s) for Tutoring

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Best Time for Tutoring

Morning
Afternoon
Evening
Night

Email

© E=MC2 (Educational Management Coordination and Consulting) – 2021

Contact Us:

Phone: 856-209-4344

Email: beginyourjourney@unlockyoureducation.com

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