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Parent/Guardian Information Form
We will arrange a session package that works best for your students needs. Please send your tutoring inquiries using the form below.
Contact Information
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Tutees Information
Tutee's Name
*
First
Last
Gender
*
Choose one
Male
Female
Attending School
*
School Grade
Please Select
1st
2nd
3rd
4th
4th
6th
7th
8th
9th
10th
11th
12th
Pre-college
College
Subjects for which your student requires tutoring
*
Please mention grades received or teacher feedback if available.
What academic skills does your student need to improve?
*
Logistics
Where would you like the tutor to meet your student?
*
At your home
Local library
Other
If you chose Local library or Other, please specify where
*
Each academic subject tutoring session is allotted a minimum of 1.5 hours and each standardized test tutoring session is allotted a minimum of 2 hours. We recommend students meet with their tutors for 2-3 sessions/week.
Choose all possible dates and times for tutoring sessions. For each day you choose, a field will appear with available time slots for that day.
Day of the Week
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Available Times on Sunday
Sunday 8:00am-8:30am
Sunday 8:30am-9:00am
Sunday 9:00am-9:30am
Sunday 9:30am-10:00am
Sunday 10:00am-10:30am
Sunday 10:30am-11:00am
Sunday 11:00am-11:30am
Sunday 12:00pm-12:30pm
Sunday 12:30pm-1:00pm
Sunday 1:00pm-1:30pm
Sunday 1:30pm-2:00pm
Sunday 2:00pm-2:30pm
Sunday 2:30pm-3:00pm
Sunday 3:00pm-3:30pm
Sunday 3:30pm-4:00pm
Sunday 4:00pm-4:30pm
Sunday 4:30pm-5:00pm
Sunday 5:00pm-5:30pm
Sunday 5:30pm-6:00pm
Sunday 6:00pm-6:30pm
Sunday 6:30pm-7:00pm
Sunday 7:00pm-7:30pm
Sunday 7:30pm-8:00pm
Sunday 7:00pm-8:30pm
Available Times on Monday
Monday 8:00am-8:30am
Monday 8:30am-9:00am
Monday 9:00am-9:30am
Monday 9:30am-10:00am
Monday 10:00am-10:30am
Monday 10:30am-11:00am
Monday 11:00am-11:30am
Monday 12:00pm-12:30pm
Monday 12:30pm-1:00pm
Monday 1:00pm-1:30pm
Monday 1:30pm-2:00pm
Monday 2:00pm-2:30pm
Monday 2:30pm-3:00pm
Monday 3:00pm-3:30pm
Monday 3:30pm-4:00pm
Monday 4:00pm-4:30pm
Monday 4:30pm-5:00pm
Monday 5:00pm-5:30pm
Monday 5:30pm-6:00pm
Monday 6:00pm-6:30pm
Monday 6:30pm-7:00pm
Monday 7:00pm-7:30pm
Monday 7:30pm-8:00pm
Monday 7:00pm-8:30pm
Available Times on Tuesday
Tuesday 8:00am-8:30am
Tuesday 8:30am-9:00am
Tuesday 9:00am-9:30am
Tuesday 9:30am-10:00am
Tuesday 10:00am-10:30am
Tuesday 10:30am-11:00am
Tuesday 11:00am-11:30am
Tuesday 12:00pm-12:30pm
Tuesday 12:30pm-1:00pm
Tuesday 1:00pm-1:30pm
Tuesday 1:30pm-2:00pm
Tuesday 2:00pm-2:30pm
Tuesday 2:30pm-3:00pm
Tuesday 3:00pm-3:30pm
Tuesday 3:30pm-4:00pm
Tuesday 4:00pm-4:30pm
Tuesday 4:30pm-5:00pm
Tuesday 5:00pm-5:30pm
Tuesday 5:30pm-6:00pm
Tuesday 6:00pm-6:30pm
Tuesday 6:30pm-7:00pm
Tuesday 7:00pm-7:30pm
Tuesday 7:30pm-8:00pm
Tuesday 7:00pm-8:30pm
Available Times on Wednesday
Wednesday 8:00am-8:30am
Wednesday 8:30am-9:00am
Wednesday 9:00am-9:30am
Wednesday 9:30am-10:00am
Wednesday 10:00am-10:30am
Wednesday 10:30am-11:00am
Wednesday 11:00am-11:30am
Wednesday 12:00pm-12:30pm
Wednesday 12:30pm-1:00pm
Wednesday 1:00pm-1:30pm
Wednesday 1:30pm-2:00pm
Wednesday 2:00pm-2:30pm
Wednesday 2:30pm-3:00pm
Wednesday 3:00pm-3:30pm
Wednesday 3:30pm-4:00pm
Wednesday 4:00pm-4:30pm
Wednesday 4:30pm-5:00pm
Wednesday 5:00pm-5:30pm
Wednesday 5:30pm-6:00pm
Wednesday 6:00pm-6:30pm
Wednesday 6:30pm-7:00pm
Wednesday 7:00pm-7:30pm
Wednesday 7:30pm-8:00pm
Wednesday 7:00pm-8:30pm
Available Times on Thursday
Thursday 8:00am-8:30am
Thursday 8:30am-9:00am
Thursday 9:00am-9:30am
Thursday 9:30am-10:00am
Thursday 10:00am-10:30am
Thursday 10:30am-11:00am
Thursday 11:00am-11:30am
Thursday 12:00pm-12:30pm
Thursday 12:30pm-1:00pm
Thursday 1:00pm-1:30pm
Thursday 1:30pm-2:00pm
Thursday 2:00pm-2:30pm
Thursday 2:30pm-3:00pm
Thursday 3:00pm-3:30pm
Thursday 3:30pm-4:00pm
Thursday 4:00pm-4:30pm
Thursday 4:30pm-5:00pm
Thursday 5:00pm-5:30pm
Thursday 5:30pm-6:00pm
Thursday 6:00pm-6:30pm
Thursday 6:30pm-7:00pm
Thursday 7:00pm-7:30pm
Thursday 7:30pm-8:00pm
Thursday 7:00pm-8:30pm
Available Times on Friday
Friday 8:00am-8:30am
Friday 8:30am-9:00am
Friday 9:00am-9:30am
Friday 9:30am-10:00am
Friday 10:00am-10:30am
Friday 10:30am-11:00am
Friday 11:00am-11:30am
Friday 12:00pm-12:30pm
Friday 12:30pm-1:00pm
Friday 1:00pm-1:30pm
Friday 1:30pm-2:00pm
Friday 2:00pm-2:30pm
Friday 2:30pm-3:00pm
Friday 3:00pm-3:30pm
Friday 3:30pm-4:00pm
Friday 4:00pm-4:30pm
Friday 4:30pm-5:00pm
Friday 5:00pm-5:30pm
Friday 5:30pm-6:00pm
Friday 6:00pm-6:30pm
Friday 6:30pm-7:00pm
Friday 7:00pm-7:30pm
Friday 7:30pm-8:00pm
Friday 7:00pm-8:30pm
Available Times on Saturday
Saturday 8:00am-8:30am
Saturday 8:30am-9:00am
Saturday 9:00am-9:30am
Saturday 9:30am-10:00am
Saturday 10:00am-10:30am
Saturday 10:30am-11:00am
Saturday 11:00am-11:30am
Saturday 12:00pm-12:30pm
Saturday 12:30pm-1:00pm
Saturday 1:00pm-1:30pm
Saturday 1:30pm-2:00pm
Saturday 2:00pm-2:30pm
Saturday 2:30pm-3:00pm
Saturday 3:00pm-3:30pm
Saturday 3:30pm-4:00pm
Saturday 4:00pm-4:30pm
Saturday 4:30pm-5:00pm
Saturday 5:00pm-5:30pm
Saturday 5:30pm-6:00pm
Saturday 6:00pm-6:30pm
Saturday 6:30pm-7:00pm
Saturday 7:00pm-7:30pm
Saturday 7:30pm-8:00pm
Saturday 7:00pm-8:30pm
On which date would you like to begin tutoring sessions?
Does your student have any diagnosed learning disabilities?
*
Yes
No
Not sure
If Yes, please mention them and if they have been addressed.
*
Do you request that the tutor bring any special materials to the session?
*
Does your student already have an idea of which profession they would like to pursue?
*
(the field can be as broad or specific as you like)
Yes
No
If Yes, what is it?
*
How did you hear about Us?
*
Web search
Recommendation
Community newspaper
Other
If you chose 'Other' please explain
Purchase a Tutoring Package Now?
*
Yes, Take Me to the Payment Form
Not Ready to Pay. Please Contact Me First.
If you're to purchase a tutoring package now, select yes and you'll be taken to a payment form. Otherwise, you can wait until we contact you and match you with a scholar.
Just to make sure!
Contact Us
Please use the form below for any general questions. You may also reach us at 404.482.1840
Name
First
Last
Email
Phone
What best describes you?
I'm a Student
I'm a Parent
I'm a Scholar
None of the above apply
Questions or comments:
Captcha
Are You A Scholar?
Atlanta Scholars is always on the lookout for exceptional tutoring talent. Qualified candidates are encouraged to apply. Please fill in the following information and we will contact you if there is a match.
Name
*
First
Last
Phone
*
Email
*
Zip Code
*
How Often Are You Available?
*
Every day
3-4 times per week
2-3 times per week
Once per week
Once per month
Do you have access to a car and a driver's license?
*
Yes
No
List below which subjects you can teach and at what level
*
Upload CV
*
Drop files here or
Accepted file types: doc, docx, jpg, pdf.
Please upload your CV in a DOC, JPG or PDF format
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