EMAIL US
 


MISSION

BOARD

TEACHING
LINKS

CONTENT
LINKS
\

TECHNOLOGY
LINKS

DONATIONS

CONSULTING

PROGRAMS

EVENTS

TUTORING

CONTACT US

HOME

LOCAL
LINKS

Science In Our Community
Lecture Series

TUTORING REGISTRATION FORM

(Please fill out completely)

Name:
E-Mail:
Gender: Male Female
Date of Birth:
Address Line 1:
Address Line 2:
City:
State:
Phone:
How did you find us?:

What is the best time to call you? :

School Attending :

Teacher's Name :

Teacher's Email :

Specify Course and Course Number You Need Help in:

Name, Author, Year, and Title of the Textbook you are using:

What grade do you currently have in the course?:

Please list the days of the week,
and one to two hour time slots per each day,
you would be available for tutoring:

Please describe in detail why you need our tutoring:

Please describe any special needs or considerations you might have:

Form Processing - Powered by FormBuddy.com

 

 

 

PH: (805) 481-0037 FAX: (805) 481-3315

EMAIL: info@institutefordiscovery.org

 

[mission] [programs] [tutoring] [events] teaching links] [content links] [technology links] [donations] [consulting] [board] [contact us ] [home

COPYRIGHT © 2000 The Discovery Institute for the Advancement of Science and Technology Education, All Rights Reserved