Application for the 2025-26 Year

Your Son's Name

First Name

Last Name

Your Son's Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Primary Email

Mother's Phone Number

(###)

###

####

Father's Phone Number

(###)

###

####

Please describe your son's past schooling.

Why do you want your son to participate in the Logos Tutoring Program?

Please describe any significant health history or issues with your son (major illnesses, surgeries, allergies, disabilities, medications, etc...).

Is there anything else that would be important for us to know, or that you would like to ask, as we consider your application?

Your application will be complete when we receive the $100 non-refundable deposit. Would you prefer to pay in cash, by check, or via the "Give" page on the website?

Checks can be made out to "The Logos Tutoring Program" and mailed to: 1100 Market Street, Floor 6, Chattanooga TN, 37402

Thank you! Once you submit your application and we receive the $100 deposit, you will hear from us about setting up an interview.