Referrals - Powertutors

Name

This field is for validation purposes and should be left unchanged.

What type of referrer are you?(Required)

Your institution

Name of your institution(Required)

E.g. Dove School or Cardiff Council

Your details

Email address(Required)

Phone Number(Required)

Please specify your specific job title(Required)

About the child/young person

By providing detailed information’s in this section will enable us to quickly find a suitable tutor to re-engage the individual you are referring to.

Child's/young person's name(Required)

If their name cannot be disclosed, please provide initials

How does the child/young person identify their gender

Is support due to be online or F2F?(Required)

Child's/young person’s main SEND area of Need?(Required)

Hours per week required(Required)

Minimum of 5 hours for Face-to-Face bookings

List the specific support needed(Required)

i.e. naming the specific subjects, if unaware yet on what you would like to allocate, please specify to be discussed via phone.

Child's/young person’s school year/level?(Required)

EHCP Upload

If the young person has an education health care plan in place, please upload a copy of the EHCP here if possible (and any other useful information you can share at this stage).

Drop files here or

Accepted file types: doc, docx, pdf, png, jpeg, jpg, Max. file size: 2 MB, Max. files: 5.

Is the child/young person currently enrolled in any qualifications or do they have any upcoming examinations that you require us to prepare them for?

Please provide details such as: awarding body, course codes, dates of examinations or coursework and predicted grades.

Meeting Request

Our team are always here to help! Would you like to book in up to 30 minutes to discuss your new enquiry with our team?

Would you like to book a meeting?(Required)

Schools & LAs Referral Form

Your institution

Your details

About the child/young person

Meeting Request