General Registration Form

Use this registration form to register for one of our core services which include subject tutoring subscription plans or for exam preparation.

INSTRUCTIONS:

If you have selected an Exam Preparation plan for Service Requested option (above), you MUST answer questions 2a. and 2b. below.

If you have selected a Subject Tutoring plan for Service Requested option (above), you MUST answer questions 3a. and 3b. below.

Every question must be filled out. Please select "other" for all questions that do not apply to your Service Plan.

Only answer questions 3a and 3b if you are selecting a subject tutoring option.

3a. Select Subject *

3c. If "Other" is selected as subject in question 3a, please identify subject(s) of interest: *

3b. Estimated number of hours *

Eyes On The Prize Subject Tutoring & Exam Preparation Registration Form