Vidya Connect Student Learning Requirement

Student Full Name * Gender * Select Gender Male Female Other Prefer not to say Date of Birth * Current Institute Name Current Class or Course * Parent Name * WhatsApp Number * Student Email Residential Address *

Learning Programs *

Home Tuition Computer Education Coaching / Tuition Classes School Admission Guidance Extra Curricular: Dance, Music (Vocal, Instrumental), Drawing, Arts & Craft, etc Skill Development: Vedic Mathematics, Abacus, etc Wellness Programs: Yoga, Meditation, Zumba, etc Career Counselling & Future Planning Soft Skills: Personality Development, Public Speaking, etc Foreign Languages: Spanish, German, French, etc Other

Other Learning Program Preferred Location * Select Preferred Location If Online, No location required Other Other Preferred Location

Distance Willing to Travel (Can Select Multiple) *

Online Upto 2 Kms Upto 5 Kms Upto 10 Kms Anywhere in City Individual Home Visit Other

Other Travel Distance

Preferred Time Slots *

Flexible with Time Morning (upto 12 PM) Afternoon (12 to 04 PM) Evening (04 to 08 PM) Other

Other Preferred Time