Request a Tutor « Revise WA

Request a Tutor

If you require a tutor, please fill in the form below while providing as much detail as you can.

Name of Parents Name of parents: Address: Postcode: Email: Telephone: (include area code) Fax: (include area code) Property name:

Student details Student name 1:
Age:
Year:
School:

Student name 2:
Age:
Year:
School:

Student name 3:
Age:
Year:
School:

Student name 4:
Age:
Year:
School:

Other details Do you have Public Liability Insurance? Yes No

Preferred time(s) for a tutor? Term(s):

Briefly outline your reasons for seeking REVISE assistance:

Would you be able to provide suitable accommodation and meals? Please describe:

Tutors often travel with their partner. Can you accommodate:
A single person A couple

Please note: A contribution towards tutor travel would be appreciated. The contribution is voluntary and the amount discretionary. A suggested amount is $300 but we leave this to your discretion.

Most accessible means of transport/access - eg. condition of access roads, etc

Any additional information you need to share?

Revise WA

Application Forms

Request a Tutor