Free Online Consultation Registration Form
Hello, I am happy to meet with you in an online consultation!  I would love to know more about your writing needs and goals. Would you please,  fill out the form below, so that I can prepare for our meeting and select a time that works for both of us. Please, limit your response to one registration form only. Thank you.  

I look forward to speaking with you soon!
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Email *
Name: *
Email: *
What is your purpose for learning writing? (writing a lot for a class, applying to colleges, etc).  Please explain.   *
If you answered "Other" above, please explain what you need help writing? 
What do you struggle with when it comes to writing? *
What is your grade-level? *
What days and times are you available to meet? Please select all the days and times you have available.These are my general tutoring hours, so some times are already booked. Thank you.
11:00 am EDT
12:00 pm EDT
1:00 pm EDT
2:00 pm EDT
4:00 pm EDT
6:00 pm EDT
6:30 pm EDT
Monday
Tuesday
Wednesday
Thursday
Friday
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What type of writing help do you need? Please check all that apply. *
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How did you find me (on Google, Pinterest, Blog Post, Video, etc.)?
On a scale of 1-10,  how committed are you to learning writing? *
Not Motivated
Highly Motivated
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