Tutoring Intake Form for Parents
Email address *
Phone number
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Student Name *
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School Year *
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Age
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Subject
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School
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Teacher's name/Class
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Student's Academic Strengths
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Academic Challenges
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Attitude Toward School
Hates it
Loves it
Student's Special Talents/Interests
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Successful Strategies
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Work Habits
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Fears/Insecurities about schoolwork
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Student's past experience with tutoring
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Your goal(s) for tutoring
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Ideal schedule
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