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Tutoring Request Form
Student_Contact Information
Name:
*
First Name
Last Name
Physical Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Confirm Email
*
Verify Email
*
Phone Number
*
Student_Personal Information
Are you an Upstate International member?
*
UI memberships are required for tutoring services.
Yes
No
Age:
*
What is your native language?
*
What is your home country?
Please list any other language(s) spoken.
Reasons for tutoring/learning a language?
*
Tutoring_Request Details
What is the requested language for tutoring?
*
How often would you like the tutoring sessions to occur?
*
What is the desired session length?
*
Recommended at least 1.5 to 2 hours each session.
What is your desired start date?
*
Please check your desired format.
*
In-person
Online
Either
Can you estimate your level of experience with the language you desire tutoring for? (Spoken, written, grammar, etc.)
*
Is there any additional information that would be helpful for us to know?
