Student Online Application

We are pleased to provide tutoring that encourages and motivates students to reach their academic potential and goals. The partnership between parent, student and tutor will ensure that the students are given the necessary tools to succeed.

Student and Parent/Guardian Information: Student’s Name: Surname: Home Address: Current School: Current Grade: Gender: Please select Male Female Date of Birth: Home language: Student’s areas of focus: Does the student have any special needs? Parent/Guardian Name: Parent/Guardian Surname: Parent/Guardian e-mail address: Parent/Guardian Home Tel: Parent/Guardian Cell:     Tutoring time per subject is an hour. What areas would you like your child to be tutored in?  (Please tick)   English (Grades 4–12)   Mathematics (Grades 4-12)   Afrikaans (Grades 4–12)   Accounting (Grades 8–12)   Physical Science (Grades 8-12)   Life Sciences (Grades 8-12)   Homework Supervision (Grades 4-7)   Improved Study Skills (Grades 4-12)   Exam Revision (Grades 4–12)   Teaching English to Foreigners (All Ages)   Mathematical Literacy (Grade 10-12)   Remedial Language (English and Afrikaans)   Remedial Mathematics Support (Grade 1-3)   Remedial Support in Languages - English and Afrikaans (Grade 4-7)   Remedial Support in Mathematics (Grade 4-7)     Suitable tutoring time: Mondays: Tuesdays: Wednesdays: Thursdays: Fridays: Saturdays:     Commencement Date: Tutoring Location: Please select Tutor Centre Mobile Tutor Package Required: Please select High School 1 High School 2 High School 3 High School 4 High School 5 High School Group 1 High School Group 2 High School Group 3 High School Group 4 High School Group 5 Primary School 1 Primary School 2 Primary School 3 Primary School 4 Primary School 5 Primary School Group 1 Primary School Group 2 Primary School Group 3 Primary School Group 4 Primary School Group 5 General Exam Revision General Study Skills General Homework Supervision General Once-off Lesson General English for Foreigners English for Foreigners 1 English for Foreigners 2 English for Foreigners 3 English for Foreigners 4 English for Foreigners 5       Please retype the code in the above image?