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Student Name: Email: Phone Number: Grade:

Select the subjects you need help with: Math Science English History MSTC Admission Prep ACT/SAT Prep Piano Chess Other If other, please specify:

Describe what you/your student needs help with (e.g., "I am in Pre-Calculus and need help with Permutations homework."): Are you bringing any materials such as homework or a textbook with you? (Recommended):

Tutoring is at Beaumont Public Library but you may contact us to request other locations

Select the times you are available (This selection does not guarantee this time, a representative will reach out to you to confirm): Saturday (6/8) 2:00-3:00 Saturday (6/8) 3:00-4:00 Sunday (6/9) 2:00-3:00 Sunday (6/9) 3:00-4:00 Monday (6/10) 2:00-3:00 Monday (6/10) 3:00-4:00 Tuesday (6/4) 2:00-3:00 Tuesday (6/4) 3:00-4:00 Wednesday (6/5) 2:00-3:00 Wednesday (6/5) 3:00-4:00 Thursday (6/6) 2:00-3:00 Thursday (6/6) 3:00-4:00 Friday (6/7) 2:00-3:00 Friday (6/7) 3:00-4:00 Other If other, please specify: