Student Information:
Student's Name: Parents' Names: Home Phone: Cell Phone: Home Address: City: Zip Code: Email: School: Grade:
Session Scheduling:
Please list your DAY preference (M, T, W, or Th) and TIME preference (2:45pm – 9:00pm). An example is “Wed. around 4:00 pm”. 1st Choice: 2nd Choice : 3rd Choice : Scheduling Comments:
Please list your DAY preference (M, T, W, or Th) and TIME preference (2:45pm – 9:00pm). An example is “Wed. around 4:00 pm”.
1st Choice: 2nd Choice : 3rd Choice :
Scheduling Comments:
Please answer the following questions:
1. Is math difficult for your student? Very difficult? Or does math come naturally? 2. Do you think your student is doing math at grade level? 3. Does your student like math?
1. Is math difficult for your student? Very difficult? Or does math come naturally?
2. Do you think your student is doing math at grade level?
3. Does your student like math?