Academic Coaching General Info We put privacy first. Any information provided by you is used to understand your needs and provide a better service. We may use your information for the following: to fulfill your requests in a timely and effective manner, to improve our products or services based on your needs, or to personalize your experience according to your interests. ATMH will not sell, share, or distribute your personal information to third parties. First Last City State/Province Email Phone Birth date Referred by How did you hear about us?---Social mediaTVPrintSearch engineWord of mouthOther Demographics We ask the following information because we would like to get to know you better. Your info is confidential and privacy is important. Any information provided by you is used to understand your needs and provide a better service. Gender---MaleFemaleOther Age---Under 1313-1819-2526-39Over 40 Race/Ethnicity---American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteWould rather not to say Preferred Language---EnglishSpanish Relationship Status---SingleMarriedDivorcedWidowedSeparatedWould rather not to say Identify as---StraightLGBTQ+Would rather not to say Academic Coaching Please select your academic areas of interest. You may select multiple areas in each subject. Math BasicPre-AlgebraAlgebraGeometryTrigonometryPre-CalculusCalculusStatisticsResearch Science BiologyPhysicalPhysicsPhysiologyAnatomyPsychology English English 101English 102WorldLiteratureSociologyPhilosophySpeechMusicArtDrama History AmericanWorldStateGeographyBlack Studies Foreign Language SpanishFrenchMandarinLatin Additional Info Please provide us with any additional information you think we should know. Also, we are always open to feedback and suggestions so feel free to speak your mind. We’re here to answer any of your questions or concerns. WHAT'S NEXT? After submitting this form, you may use the Positivity+ app to join your session and schedule future sessions. Please click the Send button below. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
