Tutoring Intake Form Question Title * 1. First and Last Name of the Student Question Title * 2. Student Age and Grade Level Question Title * 3. What course are you hoping to receive tutoring for? (If you are looking for tutoring help on multiple courses, please fill out the form for each course) Question Title * 4. For this course, what is the applicable level of content? Course Applicable Level Elementary School Middle School High School (Regular) High School (Honors) High School (AP) High School (IB) First and Second Year Undergraduate Advanced Undergraduate Applicable Level Course menu Other (please specify) Question Title * 5. What goal do you have in receiving tutoring for this course? Question Title * 6. Are there any specific difficulties with this course that you want to navigate? Question Title * 7. Are there any topics within the course content that you would like to focus on for this first session? Question Title * 8. Is there anything else you want to share about this course, your study habits or methods, or about what you hope to cover? Question Title * 9. If this course heavily relies on a certain text, please specify the text below. Question Title * 10. Email Question Title * 11. Phone Number Question Title * 12. Please select the payment method you would prefer from the following options: Cash Check Zelle (Preferred) Question Title * 13. To have the best experience at a session, it is strongly advised that you bring any relevant texts, homework, assignments, or questions you may have to the session. In addition, making sure that such content is viewable by the tutor (for online sessions) streamlines the session significantly. If there is any specific content or questions that you wish to work on during the session, please either bring a physical or digital copy of it. If the session is online, please share a copy at least 5 minutes before the session. I understand Question Title * 14. Please provide the information relating to the person responsible for payments below. First Name Last Name Email Phone number Question Title * 15. Sessions or tutoring help will only be allowed on coursework for which outside help is allowed; anything in violation of your school's and course's academic honesty policy will not be tolerated. The purpose of tutoring is to develop concept understanding and grow your knowledge - NOT to answer your homework questions.Payments must be made in advance of or during the session. Failure to do so indefinitely postpones any further sessions until payment is made.Please check the below box indicating that you have read this in full, understand it, and will abide by it. I understand Done