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* 1. Name and email of tutoring client - (Parent's/guardian's email preferred for Elementary School student)

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* 2. Which grade are you or your child in?

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* 3. What is the title of the course you are taking?

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* 4. Which subject matter are you seeking help with?

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* 5. Which days fit best in your schedule? (Please check all that apply)

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* 6. Which time of day works best for your schedule?

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* 7. Do you prefer to do virtual tutoring or in-person tutoring?

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* 8. Have you or someone in your immediate household been experiencing symptoms of COVID-19 within the last two weeks? 

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* 9. Do you certify that you are submitting this application honestly? 

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* 10. Do you have any additional questions?

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