Russian Math Evaluation Form - Kirov Academy of Washington D.C.

Russian Math Program Evaluation Form

back

Student's Name*
First Last
Academic Grade as of September 2020*
Date of Birth*
MM slash DD slash YYYY
Student's Email*
Parent's Name*
First Last
Parent's Phone Number*
Parent's Email*
Lesson Schedule Preference*
- Monday/Wednesday between 5PM to 8PM
- Tuesday/Thursday between 5PM to 8PM
- Saturday/Sunday between 11AM to 4PM
Preferred Date for Evaluation*
MM slash DD slash YYYY
Preferred Time for Evaluation*

: Hours

Minutes

AM/PM