Tutoring Student Intake Template
Collect a student’s tutoring needs, goals, schedule, and guardian contact details. Tutors and tutoring centers can use it before matching a student with support.
When to use it
- Before matching a student with a tutor
- When a new family requests tutoring
- To prepare for an initial tutoring session
- When updating a student’s goals or availability
What it asks
- Parent or guardian name
- Parent or guardian email
- Parent or guardian phone
- Student name
- Student’s grade
- What subject or subjects does your student need help with?
- What are your student’s goals for tutoring?
- Are there learning differences or support needs we should know about?
- When is your student available for tutoring?
Why it should be encrypted
This form may include a child’s identity, contact details, and learning differences or support needs. Only the guardian and the tutoring staff who need the information should be able to read it.
Tips
- Ask guardians to share only learning details that will help the tutor support the student.
- Clarify which days and times are available, including the time zone.
- Limit access to the form responses to staff involved in the student’s tutoring.