eet&J Tutor Application Form

EMMARRIA Education- Tutorial and Job Training Services (eet&j)

Application for Tutorial Services
Improve Your Child's Grades with Tutoring.For some kids it takes longer to understand the information in the classroom than they are given throughout the school year. If your child is having difficulties comprehending the materials one-on-one tutoring from eet&j may be the solution for them.
Child's Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address*
Phone Number

Area CodePhone Number
Mobile*
Male/Female

MaleFemale
Birth Date

MonthDayYear
Nationality
How did you hear about us?
Date/s tutoring needed
Please list the subject(s), grade level, type of tutoring services needed and your expected outcome of services that you expect to receive.
Subject No 1
Subject No 2
Subject No 3
Subject No 4
Subject No 5
Subject No 6
Subject No 7
Subject No 8
Tutoring Flexibility (schedule)
Which days are you available to receive tutoring?
Hold CTRL for multiple selections
Which times are you available.
Hold CTRL for multiple selections
Are you the Parent or student completing this request?

YesNo
Please tell us of any special skills you may have.
Do your child required special assistance or have an IEP? Note: this question applies to both K-12 and if the individual that's completing this application is a College student (enrolled in an undergrad and above program).

YesNoNAOther
Please provide the name of school, college or university that you are currently enrolled?
Name
Telephone
Email
Contact
Please tell us a little more about yourself, what motivates you, your passions and plans.
Submit your application by clicking the button below
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EMMARRIA Education- Tutorial and Job Training Services (eet&j)

Tutoring Flexibility (schedule)

Submit your application by clicking the button below