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STUDENT TUTORIAL APPLICATION

Academic Programs of Interest*

Student's Last name*

Student's First name*

Grade*

Parent's Name

Email Address*

Moible Phone Number*

Address, City, State, Zip Code*

Subject(s) Needing Assistnace*

Rocking Reading (reading/english)

Magic Math (Elementaary, Middle School)

Writing

Other - High School Subjects

The student is on

Household Income*

Are you a recipient of Governemnt Assitance (SNAP, SSI, etc.)*

Yes

No

Financial Assistance or Status

Federal Program Assistance

State Program Assistance

Financial Challenges

File upload verification of income (if requesting financial considertion in tutorial cost)

CONTACT
US

programassistant@byceministries.org

Serving Houson and its surrounding cities.

2601 Cartwright Rd, D320

Missouri City, TX 77459

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US

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US

First name*

Last name

Email*

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