Interest Form for Tuell's Tutoring

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I am currently enrolling students for the 2025-2026 School Year. Please fill this out and I will contact you as spots become available. Filling out this form does not commit you to tutoring. If you'd like to read more about me or my services please visit www.tuellstutoring.com .

Email *

Parent or Guardian Name(s)

Phone number

Address

Any additional emails or phone numbers you'd like me to use to contact you.

Child's Name

Child's Age

Please describe your concerns about your child's reading

Has your child has any of the following assessments done? (check all that apply)

Public School Child Study

Private Educational Evaluation Conducted by a Educational Psychologist or Neuropsychologist

Evaluation by a Speech and Language Pathologist (may have been part of one of the above evaluations)

Evaluations by an Occupational or Physical Therapist

Dyslexia Screening

ADHD Testing

Autism Testing

Other (use the space below to explain)

None of these

Use this space to comment about assessments as needed. Do not send any assessment results at this time.

Describe your child's current educational setting (grade level, type of school, any special programs they attend).

I am currently conducting all sessions online unless we have made other arrangements, students must participate in two sessions a week. Please indicate which schedules would be possible for you. I will contact you if a compatible spot becomes available.

After School Tutoring Monday and Wednesday

After School Tutoring Tuesday and Thursday

Morning Tutoring for Homeschooled Students- Monday, Wednesday, Friday

Morning Tutoring for Homeschooled Students - Tuesday, Thursday

Intervention Tutoring in Private School Setting (please explain below)

Use this space for any additional comments regarding scheduling.

If I do not have space for your student, are you interested in a referral to another tutor?

Yes, I am interested in a referral to another tutor only if they have similar qualifications.

Yes, and I would consider working with a tutor who is still in training for a reduced rate.

Send me a copy of my responses.

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