2tor2u.com Intake Form
Welcome to 2tor2u.com! Please take a moment to fill out this questionnaire so we can get to know you better. If you have any trouble with the form please view it in the browser. Email or call me if you have any difficulties.
Email address *
What subject(s) does your student need help with? *
Your answer
Student Name *
Your answer
Student Phone Number (If applicable)
Your answer
Student Email (If applicable)
Your answer
What grade is student in? *
Your answer
What are their current grades? Do they like the subject(s)? Do they like their teachers?
Your answer
Parent Phone Number *
Your answer
Parent Name *
Your answer
What is your address/general area? *
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How did you hear about 2tor2u?
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