New Student Form

Your Name (required)

Your Email (required)

Your Phone Number

Student's name and age

Which tutorial program are you interested in? (You may check more than one area)
 Standard ('In-person') Tutorials Written Tutorials

How often would you like tutorials?
 Weekly Bi-Monthly Single Project

What kind of writing would you like the tutorials to focus on? (You may check more than one area)
 Academic / Expository Creative Writing / Literary Arts Mindful Writing/Inward Exploration

Does the student like to follow the guidelines offered by assignments, or does he/she prefer to make up his/her own topics and direction?
 Likes to be assigned topics Likes to make up his/her own topics

Is there anything about the student’s learning style or approach to writing that would be helpful to share with Mary? (For instance, let us know if the student feels especially sensitive about receiving feedback on his or her writing; if he/she has a strong affinity for or resistance to writing; if he/she needs special accommodations such as a specific platform; etc.)

Please briefly describe the student’s current goals as a writer (anything from improving punctuation skills to writing a novel).

Are there any particular topics, themes, or extensive pieces of writing that the student would like to pursue in his or her tutorial program? If yes, please describe.

Are there any standard writing skills or areas in which you would especially like to see improvement? (You may check more than one area)
 refinement and effective presentation of thesis argumentation organization paragraph development sentence or paragraph transitions sentence structure and variety punctuation consistent use of "voice" and tenses revision skills other
If other, please describe:

Please list a few of the student's interests, including hobbies or activities that he or she feels strongly about.

Please submit a sample of recent work that the student has written without any assistance (corrections, editing, etc.) from others.

Or you can upload a writing sample here (doc, docx, txt, rtf, odt, wpd, wps, wks, pdf):

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