Melanie Rand Beck, M.Ed.
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Meet Melanie
The R.E.A.D.Y. Approach
Tutoring Services
Tutoring Intake Application
Step
1
of
3
- Student Information
33%
Student Information
Student Name
(Required)
First
Last
Student Email
(Required)
Student Phone
(Required)
Student School
(Required)
Student Grade
(Required)
(or upcoming grade)
Select One
10
11
12
Test History
Have you taken the ACT/SAT before?
(Required)
Yes
No
If so, what was your overall score?
If you can remember, please share your scores in English, Reading, and/or Writing (if applicable):
What is your goal score? Why do you want this score (e.g. Bright Futures, specific college, etc.)?
(Required)
Do you have an ACT/SAT test scheduled? If so, when is it?
MM slash DD slash YYYY
For ACT, which do you want help with?
(Required)
English
Reading
Both
Is there anything else that you’d like for me to know about you?
Parent / Guardian
Parent/Guardian Name
(Required)
First
Last
Parent/Guardian Email
(Required)
Parent/Guardian Phone
(Required)
Please help us avoid spam.
(Required)
Answer below what number comes after 9.
