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Please complete the form below. If you have any questions, contact us at info@journeyonlinetutoring.com
*
Indicates required field
Client Name
*
First
Last
"Client" is the person receiving services.
Client Email
*
Client Phone Number
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Counselor Name
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First
Last
Counselor Email
*
Counselor Phone Number
*
Admin Name
*
First
Last
Admin Email
*
Admin Phone Number
*
Requested Course Category
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Job Search and Placement
Academic Coaching
Life Coaching
Computer Skills
Other
Please specify the specific course or service your client needs:
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How many total hours do you estimate your client will require to complete this course?
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How many days/week would your client ideally like to meet?
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1
2
3
4
5
What would be the ideal class length (in hours) per class for your client?
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15 minutes
30 minutes
45 minutes
60 minutes
90 minutes
Will the client require a certificate of completion at the end of the course?
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Yes
No
Please provide any information about the client that would be helpful for the teacher/tutor/coach:
*
Please indicate all days/times (Monday-Friday) the client is available to receive services (i.e. Mondays 9-11am/4-5pm, etc.)
*
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About
FAQ
Services
Tutoring
Pricing
Contact
Portal Login