Information Pack for Chloe White Tutoring Services
This document serves for clients of Chloe White Tutoring Services to include basic information that helps with my understanding of the student's needs and the aims for the tuition once it commences.

Chloe White Tutoring Services is a one-person tuition business. Your information is not being shared with any third party.

For this form, please use the email address you prefer for our future communication.


Contact number: 07356 049232
Contact email: chloewhitetutor@gmail.com
Sign in to Google to save your progress. Learn more
Parent's/Guardian's name (if adult and responsible for own payments, please use your own name):
 *
Email *
Your email address
Student's name:
 *
The student is:
 *
What service(s) would you like to book/have booked?
 *
Required
Any diagnosed/suspected learning needs?
 *
For example, dyslexia, ADHD, autism, etc.
What are your reasons for tuition? What are your/your child's short/long term goals?
 *
(If not home educated)
Please confirm the school the student currently attends (and/or the one they are aiming to go to if applicable) - name (and town).

If I've tutored a student from the same school, I might understand better the requirements they have on students and help to accommodate them. This is helpful information if you can share but is not required.
Where did you hear about Chloe White Tutoring Services?

This is also not required but appreciated if you can provide the details.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms