Academic Excellence Tutoring Enrollment Application & Agreement


Required


Select all of the subjects that the student wants help with. Hold the control button for multiple choices.
Please select the assessments that you want to order. Hold the control button for multiple choices.
Please list Exact days of the week and times preferred for all regularly scheduled tutoring sessions.
The number of hours you wish to purchase.
Please tell us where you would prefer your tutoring services to be provided?
Please enter the total amount of your purchase for tutoring time only. We will automatically add the registration fee, assessment fee and taxes.

Payment Information

For most cards this is the last 3 digits on the back, for AMEX it will be four digits located on the front.

ACADEMIC SERVICES AGREEMENT

Important - Please view to accept/print our academic services agreement.


Please enter either the last four digits of your SSN or the State, # and expiration date of your valid state issued ID or Driver's License to authenticate your identity.