Tutor Submission

Fax it to 717.664.1535

Phone: 717.664.1016

First Name: _________________________________________________

Last Name: _________________________________________________

City in which you reside: _______________________________________

Daytime Phone Number: _______________________________________

Email address: _______________________________________________

Best time to reach you: AM________ PM_______ Weekends_________

Qualified to tutor grades: (check all that apply):

Elementary PreK-5______

Middle School 6-8________

High School 9-12____

College/Higher Education ____

Subjects: (please be specific):

Study Skills: _________

Organizational Skills: _______

SAT Prep (English)_________

SAT Prep (Math)___________

College Essay Prep_________

Learning Disabilities: (please be specific) _________