REQUEST A TUTOR

Parent’s first name *

Parent’s last name *

Student’s first name *

Student’s last name *

Email *

Date of birth of the student *

Street *

City *

Postal code *

Main phone number *

How did you hear about our services ? *InternetSocial MediaSchoolWord of mouthOther

School *

Subjects in school where there is the most need *FrenchMathematicsEnglishSciencesHistoryGeography

Grade level *PreschoolPrimary - 1stPrimary - 2ndPrimary - 3rdPrimary - 4thPrimary - 5thPrimary - 6thSecondary - 1stSecondary - 2ndSecondary - 3rdSecondary - 4thSecondary - 5thCollege

Description of difficulties and needs. Please be as detailed as possible about your child’s needs and your expectations from the tutoring. *

Total number of hours desired for this contract? Example: 10 *

How many sessions per week? For example: 3 *

Do you prefer at home or online tutoring sessions ? *OnlineAt Home (if a suitable tutor is available in your area)

1 + 3 = ?Please prove that you are human by solving the equation *