Chessbrook ESC - TUTE 21/22
Here is our online form for all TUTE referrals. Please ensure you have the authority within your organisation to make this referral. All students who are enrolled on TUTE are the responsibility of the school in which they are on roll at.

Please note that for KS4 TUTE requests these can take up to 24 hours and for KS3 TUTE requests up to 48 hours.
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School/Organisation *
Full Name of Student *
Current Year Group *
Date of Birth *
Gender *
Required
Unique Pupil Number (UPN) *
Unique Learner Number (ULN) *
Address *
Parent Name *
Parent Contact Number *
Areas of need *
Yes
No
Pupil Premium
Free School Meals
Looked after Child
English as an additional language
Learner Profile *
Above age related
Age related
Below age related
Reading
Writing
Numeracy
SEND profile - This supports the TUTE teachers in gaining further understanding of the students needs *
Required
Additional information
Key Stage 3 Timetable
Lesson 1
Lesson 2
Lesson 3
Lesson 4
Monday
Tuesday
Wednesday
Thursday
Friday
Key Stage 4 Timetable
Lesson 1
Lesson 2
Lesson 3
Monday
Tuesday
Wednesday
Thursday
Friday
When you would like this provision to start? *
When would you like this provision to end? *
Name of person completing this form *
Your email address *
Would you like to receive attendance notifications? *
Required
Contact name of person responsible for the monitoring of this students attendance *
Attendance email *
Attendance contact number *
I confirm that we wish to enrol the above student on TUTE at £15 per lesson *
Required
I confirm that we have consulted with parents/student who have agreed to this referral *
Required
I can confirm that I have the budget authorisation to submit this referral *
Required
Submit
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