Simpli Tutor.ME Application
Thank you for showing interest in Simpli Tutor.ME. Our competitor rates are 40%-50% higher and do not offer daily focused instruction or a diagnostic to find those learning gaps. Check out testimonials from our customers!

Student Testimonial - "I really enjoyed this tutoring session because now I can be ahead of the game for 7th grade. Thanks to the tutors, I understand Math more and English. I worked with students from different grade levels, and we helped each other to solve problems." - Elijah

Parent Testimonial - “The tutorial program was absolutely amazing and provided my child the personalized experience needed to excel.  He really enjoyed the program and said simply, ‘I liked it!’ We would definitely sign up again.” - Mike

Sign in to Google to save your progress. Learn more
Email *
Parent/Caregiver Name (main point of contact) (can provide more than one name) *
Mobile Phone Number (main point of contact) (can provide more than one number) *
Student First and Last Names (write the names of all students interested and their rising grade in the fall. Ex: Vivian Wells 6th; Missy Wells 7th, etc.) *
Which school district are you in? *
What is your child's learning plan for this upcoming school year? *
What is the current learning plan for your child?
Clear selection
Which tutoring skill are you most interested in? Check all that apply. *
Please provide the best mailing address including street, apt or suite number, city, state and zip code. (for billing and mailing purposes only) *
Student email (only used for classroom lesson learning apps) (preferred gmail account) *
Would you be interested in weekly music lessons in addition to tutoring? If yes, which instrument? (check all that apply)
Each child must have their own technology. School issue devices are not recommended due to restrictions. Does your child have access to a desktop or laptop with speaker/microphone and camera? (The online platform works best with a desktop or laptop only.) *
Does your child have headphones, earphones, earbuds or a headset? (check one) *
Finally, will you be able to ensure your child has a dedicated workspace during instruction? *
Kindly provide a core teacher reference below with full name, phone number and/or email. Teacher must have taught your child during the previous school year. (English, Math, History or Science teachers references only) If your child  was homeschooled last year, your may provide a reference of a coach, counselor or elective teacher. *
I understand that this is a fee based tutoring service and payment will be required. Installment plans are available. We accept payments: credit, debit, check, and money order. Cash payments can be arranged. *
I hereby give permission for Simpli TutorMe to use my child's projects, writing, art work or picture with first name and last initial on company sites and marketing materials. *
Do you have anything else to share about the learning style or learning concerns? Were there any specific grade levels in their past where they had some struggles that we should be aware of? Our instructors have worked with students of various learning needs so we will be able to detect it. It is best to share IEP, 504 information, etc. early so we can offer personalized instruction. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Simpli Music. Report Abuse