Student Information

Student First Name*

Student Middle Name

Student Last Name*

Student Date of Birth*

mm/dd/yyyy

Student Gender*

female male

If other, please explain.

Student's Current School*

Contact Information

Prefix*

Ms. Mrs. Mr. Dr.

Parent First Name*

Parent Middle Name

Parent Last Name*

Suffix

Street Address*

City*

State*

Zip Code*

Primary Phone*

Ext.

Phone Type*

Cell Work Home

Primary Email Address*

Please describe your child's tutoring needs and/or your academic concerns*

Desired length of tutoring session*

45 minutes 1 hour 1 hour and 30 minutes Unsure

Request a specific tutor (Optional)

While we cannot guarantee your child will be paired with a specific tutor, we will do our best to match students to their preferred tutors.

I have read and understand the Tutoring Policies*

Agree Disagree

Click here to review The Joy School's Tutoring Policies.

If you have questions or concerns about The Joy School's Tutoring Policies, please reach out to Elyse Trusell, Program Director, at etrusell@thejoyschool.org.

Without parental agreement to the Tutoring Policies, we are unable to provide our tutoring services to your child.

Testing & Documentation

You may submit copies of a recent report card or reports for any testing completed within the last two years to help give our tutors background information about your child.

Please submit Psychological, Developmental or Educational Testing, or Report Card below (optional)

Max file size: 10 MB

Upload additional files (optional)

Max file size: 10 MB

Upload Additional Files (optional)

Max file size: 10 MB