Byer Educational Consulting: Client Information Form
Please complete this form prior to our first lesson. For mandatory sections that do not apply to you, please enter "N/A."
Email address *
Student First Name: *
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Student Last Name: *
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Student Email:
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Student Phone Number:
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Parent First Name (if applicable):
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Parent Last Name (if applicable):
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Parent Email (if applicable):
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Parent Phone Number (if applicable):
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Address: *
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Name of Current Educational Institution (College, HS, etc.):
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School Grade for 2019-2020 Academic Year: *
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Tutoring Needs (select all that apply): *
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Type of Tutoring (select all that apply): *
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Anticipated Test Date: *
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How You Heard About Byer Educational Consulting:
What is your Score Goal? *
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What Accommodations (if any) Do You Receive:
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Prior Tutoring Experience (if any):
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Prior Test Results (if any; please include subject breakdown - E/M/R/S for the ACT; EBRW and Math for the SAT; V & Q for the GRE):
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Your Availability (when to start, what days available Sun-Sat, what times of day): *
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Any Anticipated Gaps in Availability (Winter or Spring Break, Vacation Weeks, etc.):
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