Tuition Application Form
Term 1 2017 (4th September - 26th October / Mon-Thurs 4:30pm - 7:30pm)

Email address *
Name of Student *
Your answer
Home Address *
Your answer
Home Phone Number
Your answer
School *
Your answer
Year in School *
Subject Required and Level *
Your answer
Target Grade *
Your answer
What type of tuition are you interested in? *
What are you struggling with in this subject? *
Your answer
Parent/Guardian Name *
Your answer
Parent Guardian Contact Number *
Your answer
Any Relevant Medical/ SEN Details
Your answer
In Longford Study Hub, we aim to provide a friendly, safe and comfortable learning environment for our students. In order to achieve this all students must adhere to our code of conduct as listed below –• Phone usage during sessions is strictly for school work.• No talking or messing.• Students MUST always follow any instructions given by any supervisor/ teacher. We will not tolerate any disrespect.• Student must attend all classes they are enrolled for. There is no refund for classes missed.• Students are responsible for all their belongings.• The ultimate responsibility for students is with their parents.• Longford Study Hub will not bear any responsibility for a student who leaves the premises.If we do have any problem with a student we will follow the steps below. Step 1. He / she will be given one verbal warning.Step 2. We will contact student’s parent.Step 3. If the problem then persists the student will be asked to leave study. Any student who is asked to leave will not be permitted to return for the rest of the year. Parent will be informed. *
By agreeing to these terms and conditions, you are accepting that the participating student will be expelled without refund if they do not comply with the terms and conditions above. Payment in full is required before a student may commence study.
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This form was created inside of Longford Study Hub.