Tutor Allocation Application Form

Tutor Allocation form
What you need to know

Your application will be reviewed by the Tutor Manager who will search for a suitable SPELD SA tutor for your needs and location. The allocated tutor will then contact you directly to discuss times and arrange to meet.

Please note

There is significant demand for SPELD SA specialist tutors at present. Providing families with suitable tutors is a priority and we will not compromise the quality of this service. In order to maintain the quality of the service, there will be increased wait times for families. We appreciate your patience during this busy time.
Parent/Caregiver Name*

First NameLast Name
Organisation (if applicable) and relationship to student
This only applies to organisations who manage support services on behalf of students
Contact Phone Number*
Email*
example@example.com
Address

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Student's Details
Student's Name*

First NameLast Name
Required Mode of Tutoring (choose all that appeal)*

Student's homeOn-lineIn the tutor's homeAt School (permission would need to be obtained from the school)
School Attended*
(for adults provide last school attended)
Year Level at School*
(for adults provide year level achieved)
Please outline the areas you are needing assistance in.*
Required mode of tutoring*

Student's homeOn-lineIn the tutor's homeAt School (permission would need to be obtained from the school)Other
Please provide any professional assessment information here if applicable
(in particular any diagnosis of learning difficulties or other significant assessments that may affect learning)
Submit Form

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Tutor Allocation form