Register for Tutoring - On-Track Tutoring

Want to get started with an On-Track tutor?

To match your child with the most appropriate tutor for his or her academic needs, please fill out the form below or call us at (480) 563-5588. We look forward to meeting and helping your family!

Once we receive your Registration Form we will contact you to discuss the details of your tutoring placement.

Complete our Online Registration Form

Step 1 of 8

Student Info
Student Name*
First Last
Birth Date*
MM slash DD slash YYYY
Grade*
School*
Student Email
Student Cell
Parent/Guardian #1
Parent/Guardian #1 Name*
First Last
Parent/Guardian #1 Email*
Parent/Guardian #1 Phone*
Parent/Guardian #1 Address*
Street Address City State ZIP Code
Add a second guardian?
- No
- Yes
Parent/Guardian #2
Parent/Guardian #2 Name (if applicable)
First Last
Parent/Guardian #2 Email
Parent/Guardian #2 Phone
Parent/Guardian #2 Address (if applicable)
Same as Parent/Guardian #1

Street Address City State ZIP Code
Student lives with...*
Academic History & Concerns
Area(s) of difficulty for student/specific subjects to be tutored:*
Has your child/teen always struggled in school? What grades does he/she typically earn? How are the student's study habits?*
Has he/she received tutoring or other academic supports in the past? If so, what subjects were included and what was the outcome?*
Are you registering for Executive Function (EF) Training?*
- Yes
- No
What are your child's/teen's academic strengths?

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Medical Info
Does your child/teen have medical issues that may affect learning?
- Yes
- No
Describe any medical issues that may affect learning:
Is there family history of learning differences, anxiety or mood disorders (e.g., depression), or other relevant diagnosis?
- Yes
- No
Describe relevant family history:
List student's current medications and prescribing physician(s) for any of the above learning issues or medical conditions:
List student's past medications and any relevant reactions:
List student's current/past therapists and describe progress/outcomes:

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Student Attributes
Hobbies, activities, and interests; personality traits; attitude toward school, etc.:
Describe your child's/teen's NON-ACADEMIC strengths:
Describe your child's/teen's NON-ACADEMIC challenges:
Self-confidence level on a scale of 1-10 (faith in his/her own abilities):
Self-esteem level on a scale of 1-10 (appreciation and value of one's self):
What are your child's/teen's short-term goals:
Long-term goals:

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Family Info
List siblings (names/ages); describe how they get along and if they have/have had similar EF issues:
Are there any past or current family stressors?
Describe any relevant family information that may help your child's/teen's tutor:
On a scale of 1-10, how does your child's/teen's challenges impact your family?
In what ways do your child's/teen's challenges impact your family?

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Scheduling Preferences
Preferred session location:
- in home
- at On-Track (on The Jones-Gordon School Campus)
- another location (library, etc.)
- virtual (via Facetime, Zoom, Google Meets, etc.)
# of Sessions per Week desired:
- 1x/week
- 2x/week
- 3x/week or more
Please indicate your child's availability & preferred session day(s)/time(s):
Note that sessions are a minimum of 60 min. in length. Longer sessions may be scheduled with your tutor, as his/her schedule allows.
When would you ideally like sessions to begin?
Please understand that our goal is to match the student with the right tutor as quickly as possible without compromising the integrity of the match, a process that typically takes up to a week, but depending on circumstances, can take longer.
MM slash DD slash YYYY
Goals, Expectations, and Other Specifics
What are your (and your child’s) goals/expectations working with On-Track?
Please list anything else you’d like us, or your tutor, to know:

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Services and Rates
One-on-One Services
- General Academic Tutoring, $75/hr ($85/hr with JGS/Master Tutor)
- Specialized Multisensory Reading Tutoring, $80/hr ($85/hr with JGS/Master Tutor)
- SAT/ACT Test Prep, $80/hr ($85/hr with JGS/Master Tutor)
- Strategic Connections™: Executive Function Skills Training, $80/hr ($85/hr with JGS/Master Tutor)
- Correspondence Course/Independent Study Tutoring and/or Homeschooling Support, Fees TBD
How did you hear about On-Track?
Policies and Procedures
Registration Fee: An annual registration fee of $75 (per family) is assessed upon initiation of services and yearly thereafter.

Billing Procedures: Sessions for all services are billed on a monthly basis. Invoices (for services rendered/received the previous month) are emailed to you no later than the 5th of each month. Payments for any and all invoices are due on the 9th of each month. (For example: you are emailed an invoice for June’s services by July 5th; payment is due July 10th.)

Payment Procedures: On-Track requires that a credit or debit card be kept on file. All card information is securely stored in OTT’s secure system, fully compliant with the Payment card Industry (PCI) Data Security Standard (DSS) for the safety of your data. The card on file is charged each month for fees due (auto-pay). You may contact the business office to make alternate payment arrangements. In any case, any remaining balances on or past the due date (10th of each month) will be charged to the card on file.

Overdue Accounts: Any balances remaining after the invoice due date (e.g., partial payment or no payment received, the card on file was declined) may result in discontinuation of services until the account is paid in full. Late fees ($25) also apply. accounts 60 days or more past due may be referred to a collections agency. If it becomes necessary, please contact the office as soon as possible to work out a payment plan to avoid discontinuation of services and further collections fees.

Session Length: A session is defined as not less than 60 minutes. Sessions longer than 60 minutes may be scheduled (in 15 minute increments).

Cancellation/No-show Policy: Your tutor requires 24 hours notice of cancellations. no-shows or cancellations not made within this time frame result in a charge equal to the scheduled session time. all cancellations and/or arrangements for make-up sessions must be made directly with your tutor Please remember that tutors keep session times available specifically for you/your child.

Scheduling Additional Sessions: You can schedule any needed additional sessions (or make any changes to your schedule) by contacting your tutor directly. If tutoring for another subject matter is needed, and your current tutor does not specialize in that area, contact the office so we can match/assign an additional tutor.

Supervision: A parent or other adult must be present during at-home sessions or those taking place after 4pm at On-Track. Applicable for tutoring with students under the age of 18.

Agreement Not to Solicit On-Track Tutors: On-Track expends substantial resources and carefully screens and trains our tutors. In addition, our tutors are contractually prohibited from providing services directly to On-Track clients. As such, we ask that you respect this agreement and not attempt to contract with On-Track tutors directly without On-Track’s consent.
Consent*
I acknowledge that I have read and agree to On-Track’s Rates, Policies and Procedures as stated above.*
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Email
This field is for validation purposes and should be left unchanged.

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Want to get started with an On-Track tutor?

Complete our Online Registration Form

Step 1 of 8

Student Info

Parent/Guardian #1

Parent/Guardian #2

Academic History & Concerns

Planning & Organization

Developmental Info

Medical Info

Student Attributes

Family Info

Scheduling Preferences

Goals, Expectations, and Other Specifics

Services and Rates

Policies and Procedures