English Tutor Intake Form Template
This English tutor intake form shows you a new student's reading level, what to focus on, from reading to essays, and what they're reading in class. Families can even upload a writing sample before the first lesson.
Plans from $4/month · 30-day money-back guarantee
Try the form
This is the real form, the way a parent will see it. Fill it in and click through: nothing you type is sent or saved.
What's included
14 questions in 4 steps. Every one can be edited, removed or reordered.
1Student4 questions
- Student name requiredShort answer
- Date of birthDate
- Grade requiredKindergarten … College / Adult (14 options)Dropdown
- SchoolShort answer
2Parent or guardian3 questions
- Parent or guardian name requiredShort answer
- Email requiredEmail
- PhonePhone number
3Reading and writing4 questions
- Reading levelBelow grade level, At grade level, Above grade level, Not surePick one
- What should we focus on? requiredReading, Writing, Grammar, EssaysPick any
- Current books or assignmentsParagraph
- Writing sampleFile upload
4Availability3 questions
- Preferred days requiredMonday, Tuesday, Wednesday, Thursday, Friday, Saturday, SundayPick any
- Preferred time of day requiredMorning, Afternoon, EveningPick one
- Lesson formatIn person, OnlinePick one
Who it's for and when to use it
Use it for reading and writing tutoring with school-age students. A tutor helping a sixth grader who reads below grade level needs something very different from one coaching a high school junior on college essays, and the reading level and focus questions tell you which one you've got.
The writing sample upload is the most valuable part. A recent essay or assignment shows spelling, structure and voice in a way no description can, so your first lesson can start with that piece of writing.
The student, parent and availability steps match the general new student intake. For adults learning English as a second language, the adult English learner intake is a better fit.
How to use it in 3 steps
Pick the template
Click Use this template, or choose “English tutor intake” under New form in Bear Forms. All the questions are already there.
Make it yours
Every question is ready to use as it is. Change, add or remove any of them to fit how you work.
Share the link
Publish, then send the link by email or text, put it in your Instagram bio or Google Business Profile, or paste two lines of code to show it on your website.
Tips for better responses
- Ask for a real assignment, not a new one. Tell families to upload something the student already wrote for school. A sample written for the tutor is usually more careful than everyday work.
- Read the current books question. Reading the same book as the student's class makes lessons feel relevant, and it shows you the level the school expects.
- Let parents pick several focus areas. Reading, writing, grammar and essays overlap. Ticking more than one is normal; ask which matters most in your first reply.
- Check the reading level answer gently. "Not sure" is a common and honest answer. A short reading in the first lesson settles it.
Make it your own
- Mostly essays? Pair it with the writing feedback request for each new draft.
- Younger readers? Add a question about reading at home, like how often the child reads for fun.
- Several subjects? Use the general new student intake and the math tutor intake for math students.
Frequently asked questions
What should an English tutoring intake form ask?
It should ask about the student's reading level, what to focus on, such as reading, writing, grammar or essays, the books or assignments they're working on, and ideally include a writing sample. This template asks all of that, plus the student, parent and availability details.
Can families upload a writing sample?
Yes. There's an optional upload for up to three files, PDF, Word documents or photos, so families can send a recent essay or assignment before the first lesson.
What if parents don't know the reading level?
They can choose "Not sure". Many parents don't know, and that's fine: a short reading activity in the first lesson gives you a good idea.
Is this form for English as a second language?
It's designed for school-age students improving their reading and writing. For adults learning English as a second language, use the adult English learner intake, which asks about native language and goals.
Can I edit the questions after I start using it?
Yes. Every question can be changed, removed or reordered at any time, and you can add new ones. When you publish the changes, the same link shows the updated form, so you never have to send families a new link.
Will the form stop spam?
Yes. Bear Forms filters out spam quietly in the background, so real families never have to solve a puzzle or click on pictures of traffic lights before they can send the form.
How much does Bear Forms cost?
Bear Forms costs $4 a month on the Solo plan, or $32 a year. Solo covers up to 30 forms and 1,000 responses a month. Pro is $15 a month or $144 a year for unlimited forms and responses. There's no free plan, but every first payment comes with a 30-day money-back guarantee.
Related templates
New student intake
Everything you need before the first lesson: student and parent details, goals and availability.
View template →Writing feedback request
Learners send a piece of writing, the deadline and what they want feedback on.
View template →Homework submission
Students upload their work and leave questions for you.
View template →Student pre-assessment
Find out where a student stands before the first lesson: strengths, gaps, tests and goals.
View template →Start with the english tutor intake template
Start English lessons with the student's level, focus and a real writing sample in hand.
Plans from $4/month · 30-day money-back guarantee