Request edit access
Tutoring Application Form
Email address *
Child's Name
Your answer
Describe your child's strengths and weaknesses
Your answer
How can Teton Tutors help? What specific interventions or enrichments are you seeking for your child?
Your answer
Child's Age
Your answer
Child's Grade
Your answer
What is your availability or desired time?
Your answer
Parent's Name
Your answer
Parent Phone Number
Your answer
What teachers, tutors, or other adults can we contact to get a full picture of your child?
Your answer
Emergency Contact Name and Phone
Your answer
Child's Allergies, Medications, Medical Issues
Your answer
Library Card Number and Personal Pin for Room Reservations
Your answer
Teton Tutors generally charges $100 an hour for private instruction with a professional educator. However, we do offer financial aid and scholarships upon request. Please let us know your price range and preferences.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Teton Tutors. Report Abuse - Terms of Service