DRIVEN Tutoring - Interest Form

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Parent/Guardian Name (First & Last) *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Student Name (First & Last) *

Student Email *

School Name *

Teacher (First & Last Name) *

Teacher's Phone Number *

Teacher's Email *

Grade (note: only K-8th offered at this time) *

Kindergarten

Other:

Subject Requested *

1 per week- One English/Language Arts Session ($75/session)

1 per week- One Math Session ($75/session)

Other- subjects may be available and offered on a case by case basis

Tutoring Policies:

*Must commit to a minimum of four (4) sessions.

*Support will be provided for only one subject per tutoring session and continue in that subject for the entire month.

*Session Length: Each session will meet for approximately 50- 55 minutes.

*Refunds: Refunds are not available for missed sessions.

*No enrollment fees!

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