Tutoring Intake - Lee's Learning Loft
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Email *
Student Name *
Student's Grade Level *
Primary Area of Concern *
Secondary Area of Concern
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Parent Name and Phone Number *
What led you to seek academic support outside of school? *
Which option best fits your needs? *
If you are requesting in-home tutoring, please provide your zip code.
If there is anything you'd like to share with me about your child, please do so here (assessment data, favorite/least favorite school subjects, hobbies, interests, sports, etc).
Does your child have an IEP for learning disabilities? *
How will the sessions be paid for?
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A copy of your responses will be emailed to the address you provided.
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