LOCATING AN "ECA" PRIVATE TUTOR IS EASY AS 1-2-3:

 1.) Print the ECR Form Below 

2.) Complete 1 ECR Form per Student  

 3.) Fax Completed ECR Form(s) to 301-324-0564

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RECOMMENDED MINIMUM WEEKLY HOURS PER TARGET SUBJECT

Grade Earned In Target Subject    ~     Recommended Minimum Hour(s)

B & Above                        ~                        1  per week     

C                                     ~                        2  per  week   

D & Below                         ~                         3   per week     

(Enrichment)                      ~                         1  per week       

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 ECR FORM

(Educational Consultant Request Form)

Name of Guardian/Parent (if applicable):_________________________________

Name of Student:__________________________________________________

Grade Level/ Sex of Student:_________________________________________

Client's Address:___________________________________________________

Email Address:____________________________________________________

Fax#:____________________________________________________________

Phone#(s):________________________________________________________

Place a check below, next to the service(s) that you are seeking:

       ___Consultation                                 ___  Academic Tutoring 

Name the Tutoring Location Preferred - public library, your home, negotiable,etc.:

_______________________________________________________________

Place a check below, next to the type of tutoring requested: 

  ____ Group                          ____Individualized

If Group Tutoring is requested, how many students will be in the group?_______  

List any additional requests for selecting a suitable consultant:

___________________________________________________________________

Phone#(s) to be released to referred consultant:______________________________

Target Subjects):__________________________________________________

By signing below, the Client hereby acknowledges and agrees with all written above and as follows: (1) that the Client represents and warrants that the information provided herein above is true and correct; (2) that the Educational Consultant is not an employee or agent of the Company and the Educational Consultant shall render any and all services as an independent contractor upon such terms and conditions as may be agreed upon by and between the undersigned and the Educational Consultant; (3) the Client may interview the Educational Consultant and request desired documentation prior to commencing tutorial services; (4) if the Client is dissatisfied with the Educational Consultant, the Client may request a referral to another Educational Consultant from the Company's Directory of Educational Consultants; (5) the Company shall have no liability or responsiblity whatsoever for the services rendered by or acts or omissions of the Educational Consultant and the Client shall, and hereby does, waive and release the Company from any and all actions or causes of actions that the Client may claim, have or bring against the Educational Consultant; (6) the client is the guarantor of all payments for tutoring services rendered; and (7) that this is the entire agreement between the Client and the Company.

Client's Signature:________________________________

Date:___________________________________________