Academic Bee's Tutoring Services             Consultation Form
Please complete the form below if you are interested in receiving tutoring services for your child prior to your In-Person Consultation Session. Online or In-Person tutoring sessions are available.  Please complete the form in its' entirety so we know how to best accommodate services for your child.
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Child Name (First & Last Name)
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Parent/Guardian (First & Last Name)
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Phone Number
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May we text you at this number?
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Email
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What grade is your child in?
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What school does your child attend?
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Teacher's Name
Please choose all areas in which your child needs support. (Check all that apply)
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Required
Please tell us anything you'd like us to know about the areas you chose above in which your child needs support
Has your child been diagnosed with a cognitive, physical, or learning disability? (ESE Student)
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If Yes, please tell us about the disability(ies) your child has been diagnosed with
Does your child have an IEP or 504?
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Was your child ever retained in previous grades?
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Please list any area in which your child needs support that was not listed above:
Which package are you interested in?
Clear selection
Is there anything else you want to share with us?
How did you hear about us?
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