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Online Tutoring Application

Sorry, but we are no longer accepting applications at this time.
Tutoring Online Application

PARTICIPANT’S INFORMATION


PARENT/GUARDIAN INFORMATION


TUTORING SITE

Please choose your preferred Site & Day for tutoring.


LIABILITY RELEASE / KUBONA INSHINGANO

You must agree to the following terms and conditions by clicking the check box.


PHOTO RELEASE / FOTO YASOHOTSE

You must agree to the following terms  and conditions by clicking the check box.


STUDENT BEHAVIOR CONTRACT / AMASEZERANO Y'ABANYESHURI

You must agree to the following terms  and conditions by clicking the check box.


Sign Up Today

Registration Form Must Be Completed by a Parent or Guardian.

CLICK HERE to Download Registration Form.
Email it to info@positiveimpactforlife.org.

You May Also Mail it to:
Positive Impact for Life
6026 Kalamazoo Avenue SE #110
Grand Rapids, MI 49508
Attn: Tutoring