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TEACHERS AS TUTORS
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Email *
Parent/Guardian #1 Name *
Parent/Guardian #2 Name
Student's Name (One student per response please. Submit another form for any other students) *
Address (please include city and zip code) *
Phone Number *
For high school science and math, please specify specific course. Please add if the class is honors or AP
What Subject(s) does your student need assistance with? 

Check all that apply
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What Grade s the student in? *
Which type of Tutoring Venue is your student comfortable with? *
Does our student have an IEP? *
Are you interested In IEP Advocacy?  *
Are you interested in SAT/ACT Tutoring?  *
Tell us more about your child *
A copy of your responses will be emailed to the address you provided.
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