New Student Intake Form
Name and Last Initial:
Email:
Subject:
Additional Notes (course descriptions, accommodations, etc):
What study materials do you prefer, or use regularly?
Paper & pencil
Tablet (iPad, Android)
Laptop / desktop
Whiteboard
How do you usually learn best?
Visual (diagrams, videos)
Auditory (listening, lectures)
Hands-on (problem solving)
Reading & writing
What do you want to get out of tutoring?
Help with homework
Test/exam prep
Deeper understanding
Build confidence
During our online sessions, I won’t be using a webcam. You’re welcome to use one if you prefer, but I typically recommend keeping it off, as it can be distracting and can use up computer resources (for example, I’ll often be screen sharing, which also takes up system performance).
That said, I understand that some people appreciate a more face-to-face connection when meeting a tutor. That’s why I offer a free 15–30 minute consultation via video chat for new students considering booking a lesson (using your webcam during the consultation is completely optional).
Is this something you’re interested in?
Yes
No
Additional Questions:
Submission Key (required):
Submit