Application for Addam's Specialty Programs - Aplus Skills Tutoring

Student Information

Student's First Name

Student's Last Name

Student's Phone Number

Student's E-mail Address

Student's Zip Code

Student's Gender

Student's Date of Birth

Parent Information

Parent's First Name

Parent's Last Name

Parent's Phone Number

Parent's E-mail

Parent Address

Emergency Contact First & Last Name

Emergency Contact Phone Number

Emergency Contact E-mail

Student's Academic Information

Student's Grade

Student's School

Student's GPA Range

Please select the service(s) you are registering for:

Please describe any medical, visual, hearing, or learning issues that we should be aware.

Please upload any applicable documents (such as IEPs, 504s, transcripts, essays, etc.) that will help Addam customize your program here.

How did you hear about A+ Skills?

To whom may we thank your referral? (If you were not referred to A+ Skills, please place an "X" in this box.)

Scheduling & Cancellation Policy

CANCELLATION & SCHEDULING POLICY FOR TUTORING SUBJECTS: Cancellation or rescheduling requests must be submitted a minimum of 24 hours prior to the scheduled session via text to 914-960-8861. Late cancellations will incur a full billing charge for the entire session duration. It is crucial to note that late cancellations or rescheduling requests hinder timely communication with other clients on my waiting list, impeding their ability to schedule assistance. To request a new session before your next scheduled session, please use my calendar link or submit your request via text to 914-960-8861. Please check the box to acknowledge that you have read, understand, and accept Addam's scheduling and cancellation policy.

CANCELLATION & SCHEDULING POLICY FOR SAT/ACT & COLLEGE ADMISSIONS COACHING PROGRAMS: (1) While I will make an effort to accommodate scheduling changes, SCHEDULING CHANGES ARE NOT GUARANTEED due to limited availability in my schedule. If I am unable to accommodate your request, the student is EXPECTED TO SHOW TO HIS OR HER ORIGINALLY SCHEDULED SESSION TIME. If the student does not show, the sessions will be considered a NO SHOW AND FORFEITED. (2) Scheduling changes can only be requested by parents–not students. You must provide a minimum of 48 hours' notice for any scheduling change requests to provide me an adequate time to try and accommodate your request. Again, your request is not guaranteed, and there are no cancellations accepted for SAT/ACT prep programs. Please check the box to acknowledge that you have read, understand, and accept this policy.

OFFICE COMMUNICATION POLICIES: All text, email, and voicemail communications will be responded to no later than the next business day during office hours. For emails, please remember to check your spam folder if you do not see a response by the next business day. Preferred Communication for Quickest Response: TEXT to 914-960-8861. Please email large texts, supporting documents, Google Drive documents, and assignment images to addam@aplusskills.net. Please do NOT submit scheduling requests via email—only via text to 914-960-8861. Please do NOT submit assignment images and documents via text—only via email to addam@aplusskills.net.

REQUIRED DEPOSIT FOR HOURLY SESSIONS: Hourly (session by session) clients are required to maintain a pre-paid program deposit equivalent to one hour at all times. This non-refundable deposit will be allocated towards the final scheduled session or retained on file for future services. Scheduling without the presence of this deposit is strictly prohibited. Please check the box to acknowledge that you have read, understand, and accept this policy.

REFUND POLICY: All services are non-refundable, including if you require a scheduling change that cannot be accommodated due to scheduling changes with your extracurricular activities. There will be no exceptions to this policy. Any available pre-paid sessions will never expire and remain on file for use by any member of the same immediate family. Any available pre-paid sessions can be applied towards another program package of greater value. You will be responsible for submitting payment for the difference in cost at the time it is requested by my office. Please check the box to acknowledge you have read, understand, and accept this policy.

OFFICE HOURS: My available office hours vary throughout the year. It is important to be aware of my office hours and of my detailed three-month calendar that is distributed to all clients, highlighting any specific office closures or modifications to availability. Please be advised that office hours and three-month calendars are subject to change. Any modifications to availability or three-month calendar will be communicated with advance notice. A copy of my office hours and policies may be requested via text or email at any time. Please check the box to acknowledge that you have read, understand, and accept this policy.

Please click on submit ONCE to submit your application! You will be redirected to the final step of your application process: submitting payment.

PARENT Signature for Authorization: Please type your full name, which serves as your signature that you have read, understand, and agree to all A+ Skills Policies for Addam's Specialty Programs Application. If a student signs in place of a parent, it will serve as the parent's signature.