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Student Application Form

Step 1 of 5

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Student’s Name*
First
Email
Student’s Grade Level*
- Kindergarten
- First Grade
- Second Grade
- Third Grade
- Fourth Grade
- Fifth Grade
- Sixth Grade
- Seventh Grade
- Eighth Grade
- Ninth Grade
- Tenth Grade
- Eleventh Grade
- Twelth Grade
- College
School Attending*
First
Student’s Primary Language(s)*
- English
- Spanish
- French
- Portuguese
- Other
Special Needs/ Learning Disabilities
First
Student’s Current Math Course*
- Pre-K
- Kindergarten
- First Grade
- Second Grade
- Third Grade
- Fourth Grade
- Fifth Grade
- Sixth Grade
- Seventh Grade
- Eighth Grade
- Algebra I
- Geometry
- Algebra II
- Precalculus
- Calculus
- Other

Student’s Availability
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Morning (7am - 12pm)
- Morning
  (7am - 12pm)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Afternoon (12pm - 5pm)
- Afternoon
  (12pm - 5pm)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Evening (5pm - 11pm)
- Evening
  (5pm - 11pm)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Rate the Student’s Technical Ability*
- 1
- 2
- 3
- 4
- 5
Rate the Student’s Technical Ability*
- Beginner
- 1
- 2
- 3
- 4
- 5
- Proficient
Desire Tutoring in Other Subjects*
- Select All
- Language Arts
- Science
- Social Studies
- Spanish
- No, only Math
- Other:
Student’s Weaknesses*
First
Student’s Strengths
First
Preferred Style of Learning
- Auditory
- Visual
- Read/Write
- Physical/Kinesthetic
- Other
Level of Literacy*
- Basic
- Intermediate
- Proficient

Parent Information
Parent's Name*
First
Parent/ Guardian’s Phone Number*
Parent/ Guardian’s Email*

Technology
Types of Device/s*
- Laptop
- Notebook
- Desktop
- Tablet
- Smartphone
- Other:
Operating System*
- Apple
- Windows
- Other:
Learning Managing System
- LaunchPad (Canvas)
- Blackboard
- Other:
Virtual Learning Platforms*
- I-Ready
- IXL
- FLVS
- Study Island
- Khan Academy
- Other:
Preference on Audio Use (microphone/speaker)
- Audio
- No Audio

Optional Questions
Tutoring Programs
- Kumon
- Mathnasium
- Sylvan
- Other:
Future Test Preparation
- FSA
- SAT
- ACT
- GED
- AP
- SSAT
- ISEE
- GMAT
- Other:
Attend any after-school programs?
- Yes
- No
Enrolled in Bright Futures?
- Yes
- No

About

Sawalo is an educational platform that helps provide help to your students, when they need it.

Our mission is to help teachers turn the internet into an interactive learning experience.

Email: info@sawalo.com

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