Contact - Empowered Minds Learning Center

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OUTLINE FEE STRUCTURE 2025 HOURLY CHARGES

Application Form - After School Tutoring

Please complete the following form with accurate details to help us process your application efficiently. Ensure all required fields are filled and supporting documents are submitted as instructed.

Student's Information

Students Full Names*

Date of Birth*

Gender*

Nationality*

Grade/Level Applying For*

Name of School Attending*

School Curriculum*

Preferred Tutoring Schedule*

How Many Times Per Week*

Tutoring Details

Subjects for Tutoring*

Does the student have learning challenges (e.g., Autism, Dyslexia)?*

Yes No

Does the student have any medical issues?*

Yes No

Upload Supporting Documentation for Medical Issues:

Does the student require any further assistance?

Person Responsible for Pick and Drop

Upload a copy of their ID:

EMPOWERED MINDS

Download Supporting Documents

Application Form - After School Tutoring

Student's Information

Parent/Guardian Information

Tutoring Details