CluedIn Tutoring Referral CluedIn Tutoring Referrer DetailsReferrer Name Staff Member Contact Number Email Address Start Date DD slash MM slash YYYY End Date DD slash MM slash YYYY Frequency Start Time Finish Time Child or Young Person’s Identifying InformationName Date of Birth DD slash MM slash YYYY Age Gender Nationality Aboriginal Torres Straight Islander Non Indigenous Other If the child or young person is Aboriginal and/or Torres Strait Islander, what is the child or young person’s nation(s)/tribe(s)? Number of Tutoring Sessions Requested Education Level Describe why you are seeking support for tutoringDoes the child have any known learning difficulties?What do you know about the child?Any other information that the tutor school know?Attachments (if any)Max. file size: 128 MB.Attachments (if any)Max. file size: 128 MB.TERMS and CONDITIONS a. A referral for professional services may include research, consultation and documenting. b. Final report will be provided on request and quoted within the scope of the referral. c. Each professional service is quoted individually, additional information may be requested prior to providing a quote for service. d. Withdrawal of referral and/or inability to complete the service in full be invoiced pro-rata for services rendered. e. Any travel / accommodation required to meet with families and/or obtain additional information will be the responsibility of the referrer, as negotiated and quoted on a case by case basis. f. All accounts are payable within 14 days of invoicing, multiple events will be invoiced monthly