Parent and Student Information Student Name (First Last) *
Please enter the name of the student who will be getting tutored.
What year will you graduate? 2021 2022 2023 2024 2025 2026 2027 2028 Parent or Guardian Name (First Last) * Parent/Guardian Phone Number *
What is the best number to reach a parent or guardian?
Parent/Guardian Email *
What is the best email to reach a parent or guardian?
What is the best email to reach the tutoring student?
Student Phone Number
What is the best number to reach the student, if you feel comfortable giving us the student’s number?
Would you like reminders sent out roughly 24 hours before sessions?
What Is the Tutoring for? * SAT Preparation ACT Preparation Academic Tutoring High School Placement (ISEE, SSAT, HSPT) Study Skills Other SAT Score Goals
What is your target SAT score? If unsure, just write “Unsure”
SAT Tests Taken
If you’ve taken any SATs (or PSAT), please list out the date and scores. For example:
October 2019 SAT: Math 500, Reading 250, Writing 250 When are you taking the SAT?
The National SAT is offered March, May, June, August, October, November, and December. Additionally, some states offer SATs in school in either March or April.
SAT Login Yes No Unsure
Many of our students provide us with their College Board login information so that we can gather information on previous tests. We also understand some people do not want to share that information. Would you feel comfortable sharing College Board log in information?
ACT Score Goals
What is your target ACT score? If unsure, just write “Unsure”
ACT Tests Taken
If you’ve taken any ACTs, please list out the date and scores. For example:
December 2019 ACT: Composite 21, English 21, Math 21, Reading 21, Science 21 When are you taking the ACT?
The National ACT is offered February, April, June, July, September, October, and December.
ACT Login Yes No Unsure
Many of our students provide us with their ACT login information so that we can gather information on previous tests. We also understand some people do not want to share that information. Would you feel comfortable sharing ACT log in information?
Test Accomodations Yes No Unsure
Do you currently, or do you anticipate, receiving any testing accommodations?
If you feel comfortable sharing, what type of accommodation(s) do you receive or anticipate receiving?
What academic subject(s) are you looking to be tutored in?
Study Skills Help
What are some areas you feel you currently struggle in? Some common areas are time management, note taking, attention, study habits, organization, etc.
What are you looking for assistance with?
Student Work Availability
Use this area to provide the average amount of time per day, in hours, you would realistically be able to devote to preparation. If there are days that are completely booked, that is fine; just write 0.
This does not mean what days you would like to be tutored—it is for us to craft an attack plan for you to hit your goals.
NOTE: Fractions are fine. 0.5 = 30 minutes Student Information What are some non-academic interests and hobbies you have? * Describe your academic learning style/multiple intelligence. *
For instance, how do you feel like you learn best? What does an instructor or teacher do that you feel most resonates with you? What things do you do in your studies that you feel are most beneficial?
Are you, or do you anticipate, being a recruited athlete? Discounts
Depending on the service offered, we offer discounts for the following groups of people. Click any that apply.
Discounts Offered Which Partner Program? Payment
We offer many different platforms for payment. Depending on your response, our financial team may reach out with more information.
How would you like to pay for class/tutoring sessions? *