1-on-1 Tutor Registration

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Conversation Partners is best for:

High beginner to advanced level ESL students
Students who want to focus on improving speaking and listening skills

Literacy Tutoring is best for:

Low beginner to advanced level students
Students who want to focus on reading and writing skills

An emergency contact is a person we can call in case of an emergency.

Please review the terms and conditions.

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Which tutoring program are you interested in? *

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First Name *

Last Name *

Email *

Phone 1 *

Do you use WhatsApp? *

If you use WhatsApp, please leave us your WhatsApp phone number.

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Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Birthday *

Gender *

Ethnicity *

Asian (for example: Chinese, Vietnamese, Filipino, Burmese, Korean, Karen, etc.)

American Indian or Alaska Native (for example: Navajo Nation, Blackfeet Tribe, Mayan, Aztec, etc.)

Black or African American (for example: African American, Sudanese, Haitian, Somali, etc.)

Hispanic or Latino (for example: Mexican or Mexican American, Puerto Rican, Colombian, etc)

Middle Eastern or North African (for example: Lebanese, Syrian, Iranian, Iraqi, etc.)

Native Hawaiian or Pacific Islander (for example: Native Hawaiian, Samoan, Fijian, etc.)

White (for example: German, Irish, Italian, Polish, English, etc.)

Two or More Races

Country of Origin *

Primary First Language *

If your primary first language was not listed, please enter it here.

What is your main transportation? *

How did you hear about us? *

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In your home country, what is the highest degree or level of school completed? *

Employment Status *

Annual Household Income *

What are your specific goals? *

Is there anything you'd like to share with your teacher? *

Do you have a preference for a male or female tutor, or is either one okay? *

Female

Male

No Preference

What times(s) can you meet with your tutor? *

Morning (9:00AM - 12:00PM)

Afternoon (12:00PM - 5:00PM)

Evening (5:00PM - 8:00PM)

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Emergency Contact: First Name *

Emergency Contact: Last Name *

Emergency Contact: Phone Number *

Emergency Contact: Relationship *

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Do you accept the terms and conditions? *

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