Free Academic Coaching 200825 - Scott Miller Coaching

Limited Free Coaching For Students, Parents, and Teachers

Please only use this form if you are interested in the limited free success coaching that I am offering to students, parents, and teachers in response to the ongoing impact of COVID-19.

Name *

First

Last

Email *

I am: *

a parent of a high school / secondary student seeking coaching for my student.
a parent of an undergrad student seeking coaching for my student.
a parent of a primary/secondary (K-12) student or undergrad student, seeking coaching for myself.
a teacher or professor seeking coaching for myself.
other: please provide more information in the Comment section below.

Comment

Please briefly describe why you are interested in working with a coach.

I affirm that all of the information in this form is true and that I am solely submitting this form for the purpose of requesting coaching. I understand that this form does not constitute an agreement to provide coaching services and that I am not guaranteed to receive any services by submitting this form. I also affirm that I am not using this form for the purpose of offering or promoting any product or service, and that any such offers will be considered spam and reported to my ISP.

Phone

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Scott Miller

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