Stay On Top Tutoring Services
Student/Client Application
1. Instructions will be accomplished at the student's home or neighborhood facility.
2. Upon receipt of services the tutor will submit time sheet which the parent/'guardian is responsible to sign.
3. When a tutor is available you will be called. You may arrange your tutoring schedule with the tutor.

Stay On Top Tutoring Services
Contact Us

Stay On Top Tutoring Services

558 N. 16th Street, Suite #1 -Phila. Pa. 19130 (MAILING ONLY)

 
8306 Williams Avenue (MAILING ONLY)
Philadelphia, Pa. 19150


email: stayontopinc@aol.com
Phone: (800)878-1891/ (215)242-1141 Fax: (856)547-5058

Each student will be tested to determine their instructional level. Each tutoring session will be carefully planned and specific skills will be introduced, practiced and periodically tested until the student has mastered the skill. Our goal is for the students to become independent, self assured and motivated learners.

WE CAN MAKE A DIFFERENCE!



Bill Me (on Credit Card)

MY STUDENT/ STUDENTS HAVE A GRANT FOR TUTORING __(YES)/NO______________________.

First Name:    Last Name:

Credit Card Number:
Expiration Date (mm/yyyy):

Client Agreement
I have read and fully agree to abide by all terms of this contract. I also, understand that I am financially responsible for the number of sessions that I sign this contract for, in addition to any additional sessions I register for. Any violations of this contract will result in legal action. Any legal fees incurred will be paid by the parent's, guardian's or client of the contract.
 
Signature:    Date:      

Student Information
Students First Name: Students Last Name:
Address: 
City:      State:    Zip Code:
Date of Birth (mm/dd/yyyy):  
Home Phone (000-000-0000):   Parents Work Phone (000-000-0000):
Present School:     Grade: 
School Address:
City:  State:    Zip Code:  
Subject 1 (need help):   Subject 2 (need help):  Subject 3 (need help):

Parents Email Address:

Payment Information
Use my Checking Account
      Checking Account Number
      Bank Name
      Bank Routing Number