TOTAL Approach Application

1. Contact Information *

2. Work Information *

1 - 5 hours
6 - 10 hours
11 - 15 hours
16 - 20 hours
20+ hours
I do not work

Yes No

3. Most recent MATHEMATICS experience *

4. How did you hear about the TOTAL program?

5. I understand the following: *

This class meets 5 days a week.
This class meets for an hour and 15 minutes on Monday/Wednesday with Ms. Black.
This class meets for an hour and 15 minutes on Tuesday/Thursday with Mrs. Hardy.
This class meets for 1 hour on Friday.
This class requires an additional 2 hours of tutoring per week (provided through the program at no additional cost).
While there are 9 contact hours required per week, I may need to put in additional time to be successful in the course.

6. Please describe why you should be considered for this program. *

7. Please provide a reference who can attest to your commitment to the program.

8. By typing your name into the box, you acknowledge this course will require a minimum weekly requirement of 6 hours of coursework, 1 hour of Learning Support, and 2 hours of tutoring with an approved tutor. *

9. Enter word shown below:

* Required