Choose Your Level


Registration Form – Primary Level



Welcome to Delta Sciences Institute!

Thank you for filling out this form. It will help us better understand your child's educational needs and provide tailored support.

marked fields with an asterisk (*) are required. Unmarked fields are optional.


1. General Information


(Please enter your child’s first and last name.)

(Select your child's current class for proper placement.)

(Select whether your child attends a public or private school.)

(Specify the city where your child is currently studying.)


2. Requested Subjects


(Check the subjects you would like to enroll your child in. You may select one or more.)

Select at least one subject:

   
                    

3. Preferred Session Type


(Choose the session format that suits your child best.)

            

4. Contact Information


(Enter your full name to help us identify you.)

Enter the phone number of the parent or guardian. Required for registration.

(If the student has a phone number, please provide it. Otherwise, leave blank.)

(Enter the parent’s or guardian’s email address. Optional but recommended for easier communication.)

5. Additional Remarks

Registration Form - Middle School Level



Welcome to the Delta Sciences Institute!Thank you for filling out this form. It will help us better understand your academic background and offer support tailored to your needs.

marked fields with an asterisk (*) are required. Unmarked fields are optional.


1. General Information


(Please fill in the student and school-related information.)

(Enter the student's full name)

(Select the student's current school level)

(Indicate whether the student attends a public or private school)

(Select the city where the student resides)


2. Requested Subjects

Select the subjects for which the student requires tutoring. Please select at least one subject.


Select at least one subject:

   
           

3. Preferred Session Type


Select the preferred session format for the student.

(Open group sessions allow multiple students to participate together.)

(Closed group sessions are limited to a set number of students.)

(Individual sessions are personalized and dedicated to one student.)


4. Contact Information


(Contact information is required to communicate with parents or guardians.)

(Enter the full name of the parent or guardian)

(Enter the parent's or guardian's phone number – required for registration)

(If the student has a phone number, please provide it. Otherwise, leave blank.)

(Enter the parent or guardian's email address. Optional but recommended for easy communication.)

5. Additional Comments

Registration Form - High School Level



Welcome to the Delta Sciences Institute! Please complete this form carefully. It will help us understand your academic profile and goals, so we can support you on your path to success.

marked fields with an asterisk (*) are required. Unmarked fields are optional.


1. General Information


(Please fill in the information related to the student and their school.)

(Enter the student's full name)

(Select the student's current school level)

(Indicate whether the student attends a public or private school)

(Select the city where the student resides)


2. Requested Subjects

Select the subjects for which the student wishes to receive academic support. Check at least one subject.


Select at least one subject:

    
   
   
    

(Enter the name of another subject)


(Select the baccalaureate option followed by the student.)

(For 1st and 2nd Year Bac students, please specify the chosen track.)


(Choose the teaching method that best suits the student.)

(Sessions will be conducted online only via a virtual platform. Ideal for those who prefer studying from home or cannot commute.)

(Sessions combine online classes and in-person meetings for flexible and interactive learning.)

(Sessions are held on-site in our facilities for direct supervision and personalized support.)

3. Preferred Session Type


Select the type of session you prefer for the student

(Open group sessions allow several students to participate together.)

(Closed group sessions are reserved for a fixed number of students.)

(One-on-one sessions dedicated to the student for more personalized support.)


4. Contact Information


(Contact information is required for communication with parents or guardians.)

(Enter the full name of the student’s parent or guardian)

(Enter the phone number of the parent or guardian – required)

(If the student has a phone number, please indicate it. Otherwise, leave blank.)

(Enter the parent’s or guardian’s email address. Optional, but recommended for easy communication.)

5. Additional Remarks

Registration Form – University Level



Thank you for filling out this form to join our university support sessions. Each response will help us offer you guidance tailored to your academic path and needs.


1. Personal Information


2. University Level




3. Desired Modules


   
   
   

4. Preferred Session Type




5. Participation Method




6. Additional Remarks (*)