Tutoring Interest Form
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Email *
First and Last Name (of student who needs tutoring) *
Please provide the parent/guardian's full name (if applicable).
Email (please provide the student's email address if a minor will be tutored).
Student's Phone Number *
Parent's Phone Number (if applicable) *
What is the age of the person who is interested in tutoring? *
Please list the specific math skills that you would like help with (for example: Pythagorean Theorem, SAT math , GRE math or help passing a teaching exam to become a teacher etc.). *
Is the participant currently enrolled in a math class and needs help on a regular basis with the math work they have been assigned by their teacher? *
How many times per week would you be interested in tutoring? *
What date are you available to start tutoring? *
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What days of the week work best for you? *
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Where did you learn about Super Easy Math tutoring? (example: Facebook, YouTube, Craigslist, SuperEasyMath.com Website, etc.)   If it was a person who is currently being tutored with SEM who referred you, please be sure to include their name. *
Is there anything that you would like us to know before we talk? *
What City, State, Country do you live in? *
What time zone do you live in? *
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