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Why Choose us?
Choose CogniTutor for our expert tutors who deliver personalized learning plans that transform students into confident, independent learners.
Our unique methodology focuses on both subject mastery and critical thinking skills, with proven results that build lasting academic success. We also offer a 30-Day Satisfaction Guarantee with refundable unused hours for your peace of mind.
Please fill out the form below to help us pick the best tutor for you!
All of our tutors are experts of their material and relatable. They are interviewed, tested, trained, and screened with a background check.
Caregiver Contact Information
Name
Email
Phone Number (Optional)
Please check this box
if the student has a case manager
Case Manager Contact Information
Name
Email
Phone Number (Optional)
Who will the referrals or authorizations come from?
Name
Email
Phone Number (Optional)
What organization is funding the tutoring?
—Please choose an option—
AAA Gardiner Scholarship
Adoptions Family Support Services of North Florida
Advocate Program National Youth
Alabama Elmore County
All About Kids
All Saints Academy
Arizona Department of Child Safety (DCS)
Arizona ESA Scholarship
Arizona Friends of Foster Children Foundation AFFCF
... (list continues)
Who should we contact for updates on status of funding?
Name
Title
Email
Phone Number (Optional)
Student Contact Information
Full Name
Preferred Name
Email
Phone Number (Optional)
Gender
—Please choose an option—
Male
Female
Birth Date:
Current Grades
ELA
Math
Science
History
Other
Other
Other
Additional Information
Pets in home?
Student Qualification
Online Tutoring?
Has internet access (computer, laptop, or tablet)
Has tried Online before
Has not tried Online before
Prefers Online Tutoring
Ok temporarily doing Online until In-Person is available
Tutoring Information
Subject
—Please choose an option—
Math
English
Science
History
Music
SAT/ACT
Other
... (continues with various types and grade options)
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8AM-12PM
12PM-5PM
2PM-6PM
5PM-9PM
6PM-10PM
Please select at least one time slot for at least one day.
How did you hear about us?
—Please choose an option—
Google Search
Social Media
Referral
Marketplace Scholarship (State School Choice)
Other
Name of Referral
Email of Referral
Phone Number (Optional)
Additional Comments
Terms & Conditions
Please read and review the STUDENT AGREEMENT and PRIVACY POLICY before signing.
Signature: Date:
Thank you for choosing CogniTutor.
CogniTutor respects your privacy and will never sell your information. Your information will only be used in accordance with our privacy practices.