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PARENT SIGNUP FORM

*Please complete a seperate form for each child.

Student's First and Last name

Parent's First and Last name

Phone Number

Parent Email Address

Student Email (if different from parents)

Student's Age and Grade Level

School student is currently attending?

Student's Home Adress, City, and State

Course giving student the most difficulty (Ex: Algebra, 8th grade Language Arts, etc.).

Does the student have an IEP?

Yes

No

Thanks for submitting!

JIT TUTOR SIGNUP FORM

First and Last Name

Phone and Email

Experience Teaching

Yes

No

Experience with Special Needs Students

Yes

No

Highest Level of Education

ZOOM accessibility for one hour

Yes

No

Grades and subjects you prefer to teach

Days and hours you are available to teach

Date

Yes

No

Thanks for submitting

ADULT STUDENT SIGNUP FORM

First Name

Last Name

Phone Number

Email

High school (*if appropriate)

University (*if appropriate)

What are you currently pursuing?

GED

College

Grad School

Doctoral Studies

What are your specific needs?

Thanks for submitting!

Specialized Tutoring Opportunities

Elementary and Secondary Ed Tutoring Fl

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