Learner Request for a Tutor and/or Training

First Name

Last Name

Phone

Email

Last grade completed? When/Where?

What kind of transportation do you use?

Are you currently employed?

Yes

No

If so, where?

We offer tutoring sessions from basic to advanced levels in the following categories.

Please check all that you are interested in tutoring.

Employment Skills

Employment Skills

Resume

Cover Letter

Job Search

Interview Skills

Computer Skills

Computer Skills

Intro to computers

Internet / E-mail

Microsoft Word

Microsoft Excel

Other (Fill at the end of the form)

English

English

Comprehension

Writing

Reading

Spelling

Pronunciation

English as Second Language (ESL)

Math

Math

Basic

Intermediate

Advanced

Times available:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When can you start?

Do you have any preference for your tutor's gender

No

Yes, please elaborate (optional)

Elaborate (optional)

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