Intake Information

Tutor-Student Matching Process

Simply Tutoring gathers a variety of information in order to make the best match such as: student needs, parent expectations, preferences about the tutor/pricing/location of tutoring and scheduling. It’s important to match a student’s personality and learning style with a caring and qualified tutor who meets these criteria.

To learn more, call us at 281.362.7878 or continue to the next section to complete the online intake form. We can usually email you within a day or two with a tutor recommendation for you to consider. No obligation and no contract.

Today's Date

YYYY

CONTACT INFORMATION

Student's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

###

####

Other Phone

(###)

###

####

Email Address

SCHOOL INFORMATION

Current Grade Level:

Student's Age

Name of School

LEARNING ASSESSMENT

In what subject(s) is help needed?

Why do YOU think your child is struggling?

What are your expectations for tutoring?

Passed STAAR?

SAT help?

Study skills help?

LEARNING STYLE

What is the student's best learning style?

Learning difference or challenge?

Medication?

Modifications used?

Student personality type/interests?

TUTORING PREFERENCES

Tutor gender preference:

Tutor type preference:

Preferred price range ($40-75 per hour)?

(add $7/hour at student's home with parent present)

Important qualities of the tutor:

Preferred location of tutoring:

SCHEDULING PREFERENCES

Good days and times?

Number of hours per week?

Available to begin?

YYYY

Anything else that will help us make a good match?

How did you hear about us?

Have you worked with Simply Tutoring before?