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Tutor Request Form Template

Streamline Student Support with Our Tutor Request Form

Struggling to connect students with the right tutors can slow down academic support services. This Tutor Request Form Template is designed for universities to help students easily request tutoring assistance and get the answers they need. By using this template, you can simplify communication, track student inquiries efficiently, and ensure no request goes unanswered, all while maintaining accessibility with WCAG-aligned labels. Explore how this user-friendly form can make a difference in student support efforts.

Your full name
Email address
Phone number
Are you the student?
Yes
No
Preferred contact method
Email
Phone call
Text message
Any
Student full name (if different)
Education level
Elementary (K-5)
Middle school (6-8)
High school (9-12)
Undergraduate
Graduate
Adult learner
Other/Not listed
Subject(s) for tutoring
Please Specify:
Tutoring goals
Improve grades
Understand specific topics
Prepare for an exam
Build study skills
Homework support
Catch up on missed content
Accelerated/advanced learning
Build confidence
Other
Please Specify:
Preferred tutoring format
Online
In person
Either
Location for in-person sessions (city or ZIP)
Your availability (days and times, include your time zone)
Preferred session frequency
One time
Weekly
Twice weekly
3+ times per week
As needed
How soon do you need a tutor?
Within 3 days
Within 1 week
Within 2 weeks
Within 1 month
Flexible
Budget per hour
Under $20
$20-$29
$30-$39
$40-$49
$50-$69
$70+
Prefer not to say
Tutor preferences
Certified teacher
Professional tutor
College student tutor
Experience with learning differences
Background check verified
Tutor fluent in my preferred language
No preference
Student age band
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Prefer not to say
Any accessibility, accommodations, or considerations
Anything else you would like to add
Learning preferences
Visual
Auditory
Reading/Writing
Kinesthetic
Not sure
May we share this request with available tutors to match you?
Yes
No
If the student is under 18, are you the parent/guardian and do you consent to be contacted?
Yes
No
Not applicable
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Paper art illustration representing a tutor request form for FormCreatorAI article

When to use this form

Use this template when families, students, or counselors need quick, organized help from a qualified tutor. Collect the subject, level, goals, schedule, and accessibility needs in one step, so you can match learners to the right tutor fast. It works for after-school programs, peer-tutoring clubs, and private tutoring services that want a cleaner intake than a basic tutor Google form. If you already capture background details elsewhere, link this request to your Student information sheet form. For longer-term goals and study milestones, pair it with the Academic planning form to align sessions and track progress over time.

Must Ask Tutor Request Questions

  1. Which subject(s) and specific topics do you need help with?

    This routes each request to tutors with the right expertise and avoids mismatches. It also helps tutors prepare targeted examples and practice sets.

  2. What course level are you in, and what deadlines or exams are coming up?

    Level and timelines set urgency and scope, so you can prioritize who needs help first. Tutors can plan session cadence around quizzes, projects, or test dates.

  3. What days and times are you available, and do you prefer online or in-person sessions?

    Clear availability and format reduce back-and-forth and speed up scheduling. It also helps you match learners to tutors who share time zones or campus locations.

  4. What results do you want in the next 4-8 weeks?

    Specific, short-term goals make success measurable and keep sessions focused. You can track outcomes alongside the Student data tracking sheet form.

  5. What is your current baseline (recent grades, practice scores, or key pain points)?

    This shows where the student stands today and flags concepts that block progress. Knowing the baseline lets you plan effective first sessions and show growth.

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