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Tutorial Questionnaire
Prefix
D
r.
M
r.
M
s.
M
rs.
Name
*
Email
*
Phone
Address
City, State Zip
Name and location of High School attended and year of graduation.
Please list All Colleges/Universities attended
Published Works, Research Grants, Fellowships, Awards, etc.
GENERAL AVAILABILITY - #of hours you would be available for tutoring
DEGREES you hold - Please list university(s)
Degrees you are pursuing
Please include the projected year of graduation.
Long term career goal
Other academic/personal achievements
Other talents, hobbies, and interests- including sports, etc.
How long do you plan to be in the Greater Davis/Sacramento area?
General subject areas you would like to tutor
Level(s) of students you would like to tutor
M
iddle School
H
igh School
J
r. College
U
niversity
G
raduate
Foreign languages you speak
Foreign cultures you are familiar with
Please list the 3 favorite classes you would be interested in tutoring!
Please let us know how you found out about our company
Thanks so much for your time!
Please submit your unofficial transcripts on the following page.