Interest in Alternative Provision
To express your interest in Alternative Provision and EM Tuition, an accredited, non-profit tuition partner, will be in touch with a considered proposal about how we can help support your students with special educational needs.
Organisation
Your name
*
First Name
Last Name
Phone
Please enter a valid phone number.
Format: 00000000000.
Email
*
example@example.com
How many Students do you expect to be receiving tuition?
Age of learner(s)
Year of learner(s)
Postcode for sessions
*
Where sessions would happen
What's happening, and what would help?
*
Days and hours required
Start date
Expected end date
Anything we should know about safeguarding or risk to staff?
Any risk to tutors?
What best describes you?
Local Authority
School
Parent or carer
Other
Learner's name or initials
Date of birth
Year group
Please Select
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Post-16
Current education
Please Select
In school full time
In school on a reduced timetable
Not attending school
Excluded, or at risk of exclusion
Between placements
Electively home educated
Other
Needs
Autism
ADHD
Communication needs
Sensory differences
Anxiety
Emotional regulation
SEMH
Learning difficulties
Medical needs
Other
Documents
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Subjects required
Tuition focus
Academic support
Exam preparation
Mentoring
Relationship building
Life skills
Other
Tuition focus in your own words
Hours a week
Session
Please Select
Morning, 8:45–11:45
Afternoon, 12:30–15:30
Either
Days a week
Please Select
1
2
3
4
5
Funded by
Please Select
Local Authority
School
Other
Funding status
Please Select
Approved
Awaiting decision
Not requested yet
What best describes you? (other)
Current education (other)
Needs (other)
Funded by (other)
Visitor IP
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