Application to work with Keili

Parents (and post-secondary students), please fill out this form completely in order to apply to work with Keili. (If you are a student who has not yet graduated from high school, please have a parent or guardian fill out this form.) Take your time and answer to the best of your ability. I am looking forward to getting to know you and learn about your academic goals.

Person filling out this application:

Parent

Student

First Name:

Last Name:

Email:

Phone:

Skype:

Student First Name:

Student Last Name:

Which type of tutoring interests you most?

Online

In person in St. Louis, MO

For which subjects would you like a tutor?

Math Tutoring

ACT/SAT Test Prep Tutoring

Both

Other

How often would like to have tutoring sessions?

1 time per week

2 times per week

3 times per week

Other

Student Grade Level:

Why are you seeking tutoring help?

Why do you want to work with Keili?

What other sources of help have you sought? How did they work out for you?

What does successful tutoring look like for you?

What is your availability for tutoring?

How did you hear about Keili Raven?

Is there anything else you'd like for me to know? Do you have any questions?