High Achievers Aim High Tutoring Sign-Ups
Student Name
First Name
Last Name
Age
Grade
School
Subjects students need tutoring in
Virtual Session or In-Person Session
Virtual Session
In-Person Session
Number of hours per week
Preferred days and times of the week
Please check one:
$30 per hour for small group tutoring session (groups do not exceed 3 students)
$45 per hour for exclusive 1-on-1 sessions
Parent Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Is it ok to text?
Email
example@example.com
Please share specific details about student’s struggle
Please list 3 goals for the student to accomplish with HAAH tutoring program
Submit
Should be Empty: