Superior Outcomes Learning Centre

REGISTRATION FORM

First name

Last name

Address (City or Region & Country)

Phone

Date of Birth

Sex

Male

Female

Highest Level of Education completed [Select appropriate level from drop down list]

Subject(s) for which tuition is being sought [For Math select either SLOT I OR SLOT II. Note that Slot I is ONLINE & Slot II is In-Person]

CSEC Math - Slot I: Tue & Thu / 6 pm - 7:30 pm / Online

CSEC Math -Slot II: Sat / 9:30 am - 12:30 pm / In-Person in Vieux Fort, St. Lucia

CSEC English A: Mon & Wed / 6 pm - 7:30 pm / Online

Have you attempted writing exams in any of these subject(s) before at the level for which you are now requesting tutoring? (If yes, kindly provide below details of your most recent attempts)

Yes

CSEC Mathematics

Date Exam was written (month/year)

Result/Grade

CSEC English A

Date Exam was written (month/year)

Result/Grade

When do you intend to write exams for which tuition is now being sought? (m/y)

Mathematics:

English A:

Occupational Status

Occupation (If employed)

If you are a student, please indicate the school that you attend. (Please include your class/form)

Next of Kin (Give relationship and Contact)

Submission of this form constitutes your agreement with the terms under which Superior Outcomes Learning Centre undertakes to provide the subscribed service.

Number of CSEC Subjects for which Monthly Payment is being made.

Cost Per Subject$100