Sprout and STEM Registration Form
Please complete the following questionnaire.
* Required
Email address
*
Your email
First and last name
*
Your answer
Date of birth (MM/DD/YYYY)
*
Your answer
Grade
*
9th
10th
11th
12th
High School
*
Your answer
How did you discover Sprout and STEM?
*
Family
Friend
Teacher
School advertisement
Social media
Other
Which subjects can we help you in?
*
Biology
General chemistry
Organic chemistry
Physics
Pre-algebra
Algebra
Geometry/Trigonometry
Calculus
Required
Which days and times do you expect to be available?
*
Monday
Tuesday
Wednesday
Thursday
3:00p - 4:00p
4:00p - 5:00p
5:00p - 6:00p
Required
Which online tutoring services do you plan on using?
*
Online Zoom sessions
Online forum
Both
I am aware and acknowledge that my parent or guardian is required to sign the Sprout and STEM Tutee Waiver.
*
Yes
Emergency contact ( include name, relationship, and cell phone number)
*
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Sprout and STEM.
Forms