Application Form – Knowledge-Able Tutoring Service

Student Name

First

Last

Student Date of Birth

Current Level of Study

Elementary School, Middle School, High School, GED, College

Parent/Guardian Information

First

Last

For adult students, put your name.

Phone Number

Email

Parent/Guardian Information

First

Last

Phone Number

Email

Top 3 Hobbies

Things student likes to do.

Favorite Subjects

Student’s Favorite Subjects

My Dream is to:

Student’s academic and professional goals.

Type of Service

Subject(s) Requested

When would you like to start services?

Comments

Anything you think we should know.

Acknowledgments

I understand that Knowledge-Able tutoring service is a Christian based service, and that all subject matter will be taught from a biblical worldview. Instructional times will include prayer and moral and character development. I understand that tutoring is a privilege and agree to be supportive of my students and the tutor(s).