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Our Services & Intake Forms:

Academic Pods & Enrichment

If you’re looking for robust, multidisciplinary, and engaging small-group learning, fill out our form below!

Pod/Enrichment Form

Student Name

First Name

Last Name

Age of student/ and grade

Guardian Name

First Name

Last Name

Email

Phone

(###)

###

####

Learning Pod/Enrichment Options:

Please select any/all that apply!

Aviators (Grades 1-8)

Gliders (Grades 1-8)

Jetsetters (Kindergarten)

Afterschool/Aftercare

Friday Flyers Enrichment

I'm not sure - I'd like more info!

What are some learning challenges and strengths that your child has?

What is your child's personality and interests?

Do you have multiple children wanting to enroll?

Yes

Student's Name

If checked yes above fill out:

First Name

Last Name

How did you hear about us?

Leave a message or Questions?

I am interested in

1:1 & Buddy Tutoring

If you’re looking for individualized tutoring, 1:1 or with a same-level peer (in our ‘Buddy Tutoring’), fill out this form!

Tutoring Intake Form

Student's Name

First Name

Last Name

Age

Name of School or homeschool

Grade

If homeschooled, what grade level do you think they are performing at?

Guardian's Name

First Name

Last Name

Email

Phone

(###)

###

####

What services are you interested in?

Academic tutoring

buddy tutoring

Online reading intervention

In person/ online tutoring

In your opinion what is your child struggling with?

Is your child's learning affecting their confidence? If so, how?

What does your child's teacher say about their learning?

What are your expectations for tutoring?

What are some learning challenges/strengths your child has?

Does your child have a diagnosis that affects their learning?

What is your child's personality and interests?

Available date to begin

MM

DD

YYYY

Days and times that work best:

How many times a week are you interested in? Please note that your child may need 2 or more times a week depending on assessment results.

How did you hear of us?

Message or Questions

Online Reading Intervention

If you’re looking for a fun, enriching virtual learning platform to support reading, fill out this form below!

Online Intervention Intake Form

Student's Name

First Name

Last Name

Age

Name of School or homeschool

Grade

If homeschooled, what grade level do you think they are performing at?

Guardian's Name

First Name

Last Name

Email

Phone

(###)

###

####

What services are you interested in?

Academic tutoring

buddy tutoring

Online reading intervention

In person/ online tutoring

In your opinion what is your child struggling with?

Is your child's learning affecting their confidence? If so, how?

What does your child's teacher say about their learning?

What are your expectations for tutoring?

What are some learning challenges/strengths your child has?

Does your child have a diagnosis that affects their learning?

What is your child's personality and interests?

Available date to begin

MM

DD

YYYY

Days and times that work best:

How many times a week are you interested in? Please note that your child may need 2 or more times a week depending on assessment results.

How did you hear of us?

Message or Questions

Note: If you have multiple children, please complete a form for each child.

Our Services & Intake Forms:

Academic Pods & Enrichment

1:1 & Buddy Tutoring

Online Reading Intervention

(208) 431-0894