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* Indicates required question
Parent/Guardian Name(s)
*
Your answer
Contact Number(s)
*
Your answer
Emergency contact name and number.
If same as above, please note N/A.
*
Your answer
Email Address
*
Your answer
Student's Name
*
Your answer
Student's DOB (date of birth)
*
MM
/
DD
/
YYYY
Student's Gender
*
Female
Male
Non - Binary
Prefer not to disclose
Prefer not to say
Other:
To ensure we address the student respectfully, please share their pronouns. This is entirely optional and will only be used for communication purposes.
*
She/Her
He/Him
They/Them
Prefer not to say
Other:
Name of current school or educational setting.
*
Your answer
What subject(s) does the student require tuition for?
*
Maths
English
Science
Computer Science
History
Geography
Languages
Other:
Required
What qualification is the student working towards?
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A Level
AS Level
GCSE/IGCSE
SATS
None
Other:
If studying at GCSE/IGCSE level, please confirm which tier the student is working toward (if applicable)?
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Foundation
Higher
Not Applicable
What is the student's target grade?
*
Your answer
Can you confirm the exam board that the student is studying?
*
Pearson Edexcel
AQA
OCR
WJC/Eduqas
CCEA
None
Not sure
Other:
If the student has recently received mock/test results, please share them below.
*
Your answer
Does the student have any Special Educational Needs (SEN) we should be aware of to support their learning effectively? If yes, please provide brief details or any strategies that have worked well in the past. All information will be treated confidentially and only used to support the student’s learning.
*
Your answer
Is there anything else you'd like us to know about the student’s learning style, motivation, or attitude towards learning?
T
his could include how they feel about school, subjects they enjoy or struggle with, or what motivates them.
*
Your answer
How many hours of tuition would the student require per week?
*
Your answer
Please confirm the students availability below.
For example Monday, Wednesday and Friday after 4pm only.
*
Your answer
Can you confirm which method of tuition the student requires?
*
Face to face
Online
No preference
To help us determine a suitable tutor if you prefer face-to-face tuition, please provide your postcode below.
*
Your answer
How did you hear about our tuition services?
*
Referral (friend/family)
School recommendation
Online search
Social media
Returning client
Other:
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