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Student Information Form -- Tutoring
Please tell me a bit about yourself and the best ways to get ahold of you if I need to.
* Indicates required question
Email
*
Record my email address with my response
Your Full Name
*
Your answer
Your preferred phone number -- Indicate if it is a cell phone or home phone
*
Your answer
Your preferred email
*
Your answer
Your Home Country
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Your answer
What is your native language?
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Your answer
What you are studying or plan to study beyond ESL (if anything)
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Your answer
Have you taken classes to learn any of the following skills in English?
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Grammar
Listening
Reading
Writing
Business English
English Speaking and Pronunciation
Speeches/Oral Communication
English for U.S. Citizenship
Required
Are you interested in remote or in-person tutoring?
*
Remote
In-person
Required
What are you most interested in learning? (Check the main area(s) and any skills within that area that apply)
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General Listening
Listening -- Understanding Rapid Speech
Listening -- Increasing my understanding of vocabulary
Listening -- Increasing my knowledge of academic talks and lectures
Listening -- Increasing my understanding of slang and speech patterns during conversations
Listening -- Talking on the telephone
General Speaking
Speaking -- Fixing my grammar
Speaking -- Fixing my pronunciation
Speaking -- Increasing my vocabulary
Speaking -- Working on intonation and speech patterns
Speaking -- Learning how to give business or academic talks
Speaking -- Feeling more comfortable talking in business and casual situations
General Reading
Reading -- Increasing my vocabulary
Reading -- Increasing my reading speed
Reading -- Learning new techniques to be a better reader
Reading -- Understanding emails and internal communications in business
General Writing
Writing -- Improving my grammar and puncuation
Writing -- Learning more vocabulary
Writing -- Understanding how to write an academic essay
Writing -- Learning how to write business documents, emails, texts, and resumes
Required
How many hours a week would you like to meet?
*
Your answer
When are you available to meet?
Your answer
Tell me anything else you would like me to know in order for me to help you accomplish your learning goals.
Your answer
Send me a copy of my responses.
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