Request a Tutor

Please read the information “FOR PARENTS”, which is located elsewhere on this website, before completing this “Request a Tutor”.

To continue your application, please fill in the form below, 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: In the shire of:

Student details

Student name 1:
Age:
Year:
School:

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Student name 2:
Age:
Year:
School:

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Student name 3:
Age:
Year:
School:

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Student name 4:
Age:
Year:
School:

Other details

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

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Briefly outline your reasons for seeking REVISE assistance:

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

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Please describe the accommodation you have available for a tutor:

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Please describe meal arrangements that would be made for a tutor:

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

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Any additional information you need to share?

For information contact the Coordinator or the Secretary