Booking Form: Steps 2 Success Solutions

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We are looking forward to working with you at Steps 2 Success Educational Solutions! Please share the following information with us so that we can provide you with the best service & support for your goals.

Email *

First Name *

Last Name *

Are you the... *

Student/Learner, reaching out for yourself

Parent/Guardian, reaching out for someone else

Which service are you interested in? (check all that apply) *

Academic Tutoring

Test Prep (ACT, SAT, GED, ASVAB, etc.)

College Planning Consultation

Executive Function Coaching

Home Schooling Sessions

Career Planning/Transitions

Educational Advocacy

Study Skills

Life Skills

Back-to-School Specials

Lifetime Packages

Other:

Required

How many sessions/meetings do you envision? *

1-5

5-10

a full semester (12-16)

a full year (24+)

unsure

Where are you located? *

close to Hampstead, NC

close to Wilmington, NC

in Massachusetts

in Florida

online sessions

What is your preference for meeting? (day of week) *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Flexible

Required

What is your preference for meeting? (time of day ) *

Mornings

Afternoons

Evenings

Flexible

Required

Best phone number to contact: *

How did you hear about us? *

Optional: share any other details or context to allow us to better address your needs.

A copy of your responses will be emailed to the address you provided.

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