GCSE Online Tutoring - Thrivetop Academy

Student Information

Full Name *

Who referred you to Thrivetop Academy?

Gender *

Male

Female

Prefer not to say

Year Group *

Current School *

Subjects, Exam Boards & Tier

Please tick the subjects your child requires and provide the exam board and tier for each selected subject

Mathematics

Exam Board

Tier

Foundation

Higher

English Language

Exam Board

Tier

Foundation

Higher

English Literature

Exam Board

Tier

Foundation

Higher

Science Pathway *

Triple Science (Separate Biology, Chemistry, Physics)

Combined Science (Trilogy / Synergy etc.)

Other:

Triple Science Subjects

Biology

Exam Board

Tier

Foundation

Higher

Chemistry

Exam Board

Tier

Foundation

Higher

Physics

Exam Board

Tier

Foundation

Higher

Other Subjects

History

Exam Board

Geography

Exam Board

Other Subject

Subject Name

Exam Board

Parent/Guardian Information

Full Name *

Relationship to Student *

Contact Number *

Email Address *

Home Address *

Postcode *

Tutoring Preferences

Preferred Learning Mode *

Preferred Time Slots *

Preferred Tutoring Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Expected Start Date *

Additional Information

Does the student have any learning needs or special requirements? *

Yes

No

Has the student received tuition before? *

Yes

No

Payment Information

Payment Method *

Billing Contact Name (Optional)

Only if different from parent/guardian

Declaration & Consent

I confirm that the information provided is accurate, and I agree to abide by Thrivetop Academy's terms and conditions. *

Digital Signature (Full Name) *

Date *