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English tutor intake
Step
1
of 4
Student
Student name
*
Date of birth
Grade
*
Select…
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
College / Adult
School
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Parent or guardian
Parent or guardian name
*
Email
*
Phone
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Next
Reading and writing
Reading level
Below grade level
At grade level
Above grade level
Not sure
What should we focus on?
*
Reading
Writing
Grammar
Essays
Current books or assignments
Writing sample
Optional. A recent essay or assignment.
Choose files
Up to 10 MB each, max 3 files · PDF, Word, images
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Next
Availability
Preferred days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day
*
Morning
Afternoon
Evening
Lesson format
In person
Online
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Submit
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Thank you! We've received your details and will be in touch soon to plan the first lesson.