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Free template

Free Student Intake Form for Tutors

A student intake form template for tutors โ€” goals, level, learning history, and logistics. Use before the first paid lesson.

What is it?

An intake form collects everything you need before teaching: goals, current level, prior tutoring, schedule, and parent contact. It saves awkward gaps in lesson one.

What to include

Student and parent details
Names, emails, phone.
Subject and level
Grade, exam, or CEFR.
Learning goals
What success looks like.
Prior tutoring / school context
What has been tried.
Schedule and format
Online/in-person, preferred times.
Special needs or accommodations
Optional but important.

The template

Copy and paste into any document
STUDENT INTAKE FORM

Student: [Name] | DOB/Age: [ ]
Parent/Guardian: [Name] | Contact: [ ]

Subject & level: [ ]
Main goal: [ ]
Target date (exam etc.): [ ]

Prior tutoring? [Y/N] Notes: [ ]
School/year: [ ]

Preferred schedule: [ ]
Online / In-person: [ ]
Special needs: [ ]

Signed/agreed: [Date]

Skip the template โ€” let OBRI handle it

Store intake answers on the student profile in OBRI so you never hunt through email for "what was their target grade again?"

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Common questions

When should the intake form be completed?
Before the first paid lesson โ€” after the intro call or trial.
Is a Google Form enough?
Yes to collect answers; OBRI keeps them attached to the student long-term.

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