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Ace Academic: Tutoring Program Application
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* Indicates required question
Email
*
Your email
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian e-mail
*
Your answer
Phone Number (Cell)
Your answer
Mailing Address
*
Your answer
First Name (Student)
*
Your answer
Last Name (Student)
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Current Grade Level
*
Your answer
School Currently Attending
Your answer
Subject Seeking Focus (Select as many as needed)
*
Math (K-4)
Math (5-8)
ELA (K-4)
ELA (5-8)
Science (K-8)
High School English
Algebra
Geometry
Trigonometry
Earth Science
Life Science/Biology
Chemistry
Physics
Social Studies/History/Geography/Civics/Economics
Other:
Required
How did you hear about Ace Academic Learning?
*
Referal
School Personnel
Google
Social Media
Walked/Drove by
Other:
Required
If referred, who referred you?
Your answer
Availability - Please indicate the days your scholar is available for instruction.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Check all that apply.
Indicate all the time(s) that work best.
*
Weekday Mornings/Afternoons [ 9am-2pm]
Weekday Afternoons/Evenings [2pm-7pm]
Saturdays
Sundays
Required
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