CHOYCES College Assistance QuestionnaireThis is a questionnaire for parents to complete before phone consultation. Once complete, you will receive a call from one of our tutors.Parent/Guardian Name *Phone NumberEmail Address *Name of child to receive tutoring *How old is the child? *Does your child have an IEP? YesNoIs you child an English Language Learner (ELL), serviced in English as a Second Language (ESL) or a Multi-Language Learner (MLL)? *YesNoWhat does you child need help with? College application Finding a college Selecting a Major College Essays Other Do you have any additional comments? 0 / 180When are you available for a 10-15 minute phone consultation?SundayMondayTuesdayWednesdayThursdayFridaySaturdayWhat times are you available for a 10-15 minute phone consultation?Morning 8 AM - 11 AMAfternoon 11 AM - 4 PMEvening 4 PM - 8 PMProposed days for assistance?SundayMondayTuesdayWednesdayThursdayFridaySaturdayProposed times for assistance?Morning 8 AM - 11 AMAfternoon 11 AM - 4 PMEvening 4 PM - 8 PM I understand that the consultation is free, however I will be charged a fee before the first scheduled tutoring session, dependent on the amount of sessions chosen.I understand and agreeSignatureStart signing your signature hereYour browser does not support e-Signature field.DateSend Message
