Complete the following form to begin a Study Hall booking. We will review your form and reach out soon.

    Basic Information

    Will anyone other than yourself pick up or drop off your student? If yes, please provide the following information.

    School Information

    Which school or online program does your student attend?

    Which type of learning best resembles your student's schedule?

    Virtual Learning: Your student is required to attend a scheduled virtual meeting time with an educator.

    Take-Home Learning: Your student has been provided with coursework that can be done at any time as long as the work is completed.

    If Virtual Learning, please provide the scheduled times and login information needed for your student. If Take-Home Learning, please provide a description of the work your student will bring. If neither type, what is the total time your student needs to be working on coursework each day?

    Additional Information

    Does your student require any medications or have any allergies? If so, please list them.

    Is there any additional information about your student or their curriculum that the counselor should know?