New-Student-File |

Family Info

Have you spoken with someone from CPP?*

Yes
No

With whom did you speak?*

Please describe the best way and time to contact you*

Are they omni?

Would you like to sign up for our Omni service?

Yes
No
I'd like to discuss it further with you

Student Name*

First Last

Student Email*

Student Cell*

Parental Contact*

First Last

Parent Email*

Parent Cell Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Tutoring Info

Time Zone*

Your Time Zone*

Tutoring Location*

Other Location*

Expected Test Date*

Do You Have Extended Time?*

Availability

When Can You Start Tutoring?*

List the Day(s) and Times You Are Available

Please indicate as wide an array of dates and times as possible, and note that lessons are 90 minutes unless otherwise requested.

Day(s) of the Week	Times You Are Available
		Edit Delete
There are no Days & Times.

Exception Dates

An exception date refers to a specific date that does not work, even though it falls on a recurring day of the week that you have outlined above. For example, if you listed Thursdays above, but have a conflict on a particular Thursday, you can add the date of that Thursday below.

Is there anything else you would like us to know?

Register with CPP

Family Info

Tutoring Info

Availability

Please indicate as wide an array of dates and times as possible, and note that lessons are 90 minutes unless otherwise requested.