Application for tutoring

1. Confirm your eligibility

YIM aims to support and empower disadvantaged young people to achieve their goals. The forms of disadvantage that our young people face vary, but often include homelessness, mental illness, domestic violence, family breakdown, drug and alcohol issues, financial hardship and difficulties faced on account of sexuality, race, class, or disability.

I confirm, based on the above, that the student is eligible for YIM's services*

2. Student information

First name

Last name

Email*

Phone number

Date of birth

Gender

Pronouns

School name

School year

3. Parent/carer information

Please provide contact information for either your parent/carer. We may use this when we cannot contact you.

Parent/carer name

Parent/carer relationship

Parent/carer email

Parent/carer phone

4. Tutoring information

How did you hear about us?