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Smart Plan Quick Request
Smart Plan Quick Request
Smart Plan Quick Request
Thank you for your interest in tutoring by Explanations Unlimited. Please let us know how we can help you achieve your academic goals by filling out this form. We will get in touch with you shortly.
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Basic Information
Title
*
Please Select
Dr.
Mr.
Mrs.
Ms.
Miss
First Name
*
Last Name
Relationship to Student
*
Self
Mother
Brother
Father
Sister
Other Relative
Other
If Other, Please Specify:
Daytime Phone
*
For Example: (xxx) xxx-xxxx
Mobile Phone
For Example: (xxx) xxx-xxxx
Email Address
*
Enter Email
Confirm Email
Preferred Method of Contact
*
Email
Telephone
Preferred Contact Time
Morning
Afternoon
Evening
How did you hear about us?
*
Please Select
Google Search
FindATutor.ca
Other Internet Search
Help! We've Got Kids
Flyer/Coupon
Family/Friend
Explanations Unlimited Client
Explanations Unlimited Tutor
School Guidance Department
School Teacher
Other
If Other, Please Specify:
Which Smart Plan are you considering?
*
Please Select
Smart Plan 10
Smart Plan 15 or 20
Smart Plan 30 or larger
Unsure
Tutoring Information
Requested Tutoring
Requested Tutoring Subject(s) & Grade(s)
Please state any required tutoring subjects (including any known course codes), even if they are not currently listed in our
“
Tutoring Subjects at a Glance
” chart, & we will be pleased
to see if we can assist you.
Additional Comments
Tutoring Details
Main Reason(s) for Requesting Tutoring
*
(Including your goals, deadlines, & expectations of tutoring)
Does the student have any known learning disabilities or special needs?
*
Yes
Unsure
No
If "Yes" or "Unsure", please explain:
Tutoring Location Information
(So that we may check “Tutor Availability”)
NOTE: WE CURRENTLY ONLY OFFER IN-PERSON TUTORIALS IN TORONTO & SURROUNDING REGIONS. IF YOU ARE UNSURE WHETHER WE SERVICE YOUR AREA, PLEASE SUBMIT THIS FORM & WE WILL RESPOND.
City
*
Postal Code
*
For example: A1B 2C3
Your Preferred Tutoring Option
Please Select
In-Person Private Tutoring
Semi-Private/In-Person Tutoring
Small Group/In-Person Lessons
Corporate Training
Tele-Tutoring (by Phone)
Email Tutoring
Online Tutoring
Your Preferred "In-Person" Tutoring Location
Please Select
In My Home
At My Workplace
At My Local Library
Other
Unsure
If Other, Please Specify
Major Intersections Near Tutoring Location
(Necessary for "In-Person" sessions)
Tutoring Availability Information
How soon would you like to start?
*
How many sessions per week would you like?
1
2
3
4
5
6
7
Please list all your preferred days & general time frames for sessions:
For example, "Any 2 weekdays between 4:30-8:30 pm."
Additional Comments/Questions
As the main contact person, I am authorized to submit this information. I certify that the above information is true and correct, so that Explanations Unlimited may provide a customized quote for my request.
*
I agree
