Student Enrollment Application
The Tutor Me Program (TMP) will be held from September 07, 2021 - Friday, May 13, 2022 (33 weeks). We service students grades K-12 in the St. Louis Metropolitan Area. As far as COVID-19 is concerned, TMP offers two different tutoring programs styles: in-person and virtual. For the in-person after school program, we will provide PPE supplies and make sure that all participants are social distancing during the program. The Tutor Me Program will take place on Mondays, Wednesdays, and Fridays from 3:00 pm - 6:00 pm at a rate of $90 per week. We do offer multiple student discounts under this program. With this program, students will receive 1:1 tutoring/mentoring services with their own tutor, homework help, character development, STEM activities, and financial literacy. One of mail goals is to assist your students to better understand subjects that are trouble in. At this time, all in-person sessions are held at our Administration Department, which is located in Bridgeton, MO.ALL PAYMENTS ARE DUE AT THE BEGINNING OF EACH WEEK ON A MONDAY.

The other way that we are offering the Tutor Me Program is through virtual learning. All virtual learning will take place on either Zoom, Duo, or WebEx (all child accessible websites) with their own tutor. The best part of this program, parents/guardians will have the option to make their own schedules weekly. With the virtual learning, all sessions are 30 minutes at a rate of $15 each session. ALL PAYMENTS ARE DUE AT THE BEGINNING OF EACH WEEK ON A MONDAY.

One application per student. Remember that once you set and accept your child's scheduled sessions, then you are responsible for making sure that your child attends each session. There is a zero tolerance policy for no call/no show appointments. If your students miss two scheduled appointments then we will assume that he or she is no longer interested and they will be dropped from the program. Please review our website at www.smartkidsinc.org for more information.
Student Name: *
Student's Date of Birth: *
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Age *
School District *
School Name: *
Current Grade: *
Legal Parent/Guardian's Name(s): *
Cash App Name *
PayPal Name *
Relationship to the student: *
Home Address: *
City *
State/ Zip *
Contact Number (Cell/Home): *
Email Address: *
Are you the legal guardian of this student and assume all responsibilities? *
Employer’s Name: *
Employers’ Address: *
City/State/Zip Code: *
Emergency Contact Information:
Please enter an emergency contact information for this student.
Name: *
Relationship to the student? *
Address: *
City/State/Zip Code: *
Contact Phone (Cell/Home): *
Your child's application must be completed before services can begin. Please be advised that your student will take both an Entry and Exist Assessment Exam as a part of our data collection report. Remember that once you set and accept your child's 1:1 tutoring/mentoring appointment, then you are responsible for making sure that your child attends his/her sessions. Students receive 2 sessions 30 minutes session per week. There is a zero tolerance policy for parents/guardians that make appointments and do not show up for them.
Please check here for your consent to take pictures and video of your student’s participation in the program and to be used solely for media content. *
Required
Subject Strength(s): *
Subject Weakness(s): *
Tutoring Subjects (Limit 2) : *
Tutoring Style *
Does your child have a quiet place to study (if so, where?): *
Hours Spent on Homework a Night: *
Hours Spent Reading a Week: *
Does your child complete his/her homework studies near or in front of a: television, game system, radio, or any other entertainment that causes distractions? *
Is there any down time during the evening time where you can relax and read a good book, study, or complete your homework? *
Extracurricular Activities/Sports: *
Signature (Please type your name below): *
Date
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