Education, classic form
Tutoring student intake template
A new student intake for tutoring with year level, subjects, a school report upload, learning needs, availability and session format.
12 questions, 10 required, as a classic form
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Every question
Student name (required)
Full name
Date of birth (required)
Date
School and campus (required)
Short answer
Year level in the current school year (required)
Dropdown: Year 3, Year 4, Year 5, Year 6, Year 7, Year 8, Year 9, Year 10, Year 11, Year 12
Which subjects? (required)
Multiple choice: Mathematics, English, Science, general, Biology, Chemistry, Physics, Humanities or HSIE, A language, Study skills and organisation, NAPLAN preparation, Senior exam preparation
The most recent school report
File upload
What would you like tutoring to change? (required)
Long answer
Which of these describes the student at the moment?
Multiple choice: Takes a long time to start a task, Reads slowly or avoids reading aloud, Handwriting is slow or hard to read, Loses track during long instructions, Gets extra time in school assessments, Works better with the room quiet, English is a second language at home, Works well in a group, drifts one to one, None of these apply
When could the student attend? (required)
Rating grid
How would you like sessions run? (required)
Single choice: At the centre, In our home, Online with a shared whiteboard, At the centre in term, online in the holidays, Whichever gets the right tutor
How often? (required)
Single choice: Once a week, Twice a week, Three times a week, Fortnightly, A block before exams only
Parent or guardian name, relationship and mobile (required)
Short answer
What you fill in
- [Your company]