TMT Intake Form
Thanks for choosing The Massapequa Tutor for your educational needs! Please take a minute to fill out this form so we can learn how TMT can best help your son/daughter.
Parent first name and last name *
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Student first name and last name *
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Cell phone number *
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Email *
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Hometown *
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How did you find out about TMT? *
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If you were referred to us, who referred you? A specific name is best so we can thank them :)
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What school does your child currently attend? *
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What grade is your child currently in? *
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Which of our services are you interested in utilizing? (select all that apply) *
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Which subject(s) would you like help with? *
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What is their schedule like? Any major conflicts? What days/times work best? *
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Which meeting locations work best? (select all that apply) *
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If you are interested in having us work at your home, what is your address? Please include the town and ZIP code.
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How has your son/daughter performed historically academically with respect to the area they need help in? Any specific strengths/weaknesses? For tutoring, it is best to describe your child's performance in the classes they need help in; For the SAT/ACT, it is best to list any previous scores on tests taken; For college admissions, it is best to list the schools your child is interested in applying to and what progress they have made on choosing schools, applications, and essays. *
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Is there anything else we should know about your son/daughter? Common items people list here are allergies, testing accommodations, ADD/ADHD, etc. *
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