Your students are close to getting the tutoring support they need!

We’re looking forward to working with you to help the students in your district who are experiencing a medical absence stay on top of their schoolwork.

To apply for flexible, personalized instruction for your students, all we need for you to do is complete the form below.

Please note that all fields are required to successfully submit the form.

It is recommended that you have the materials you’ll need in front of you before you begin. For example, you’ll need a student’s current class list, parent or guardian contact information, any scheduling considerations, and the reason for/length of the medical absence.

After you’ve submitted the form, you will be contacted by one of LearnWell’s experts—usually within 24 hours—to go over your request and discuss the correct tutoring solution for your student’s needs.

Virtual Tutoring Request Form

Please fill out the form below or call our Corporate Office at (877) 732-9101.



  • Please insert text characters.
  • Number only please.
  • Number only please.
  • DD slash MM slash YYYY
  • Email Confirmation Recipient


  • Please list all subjects as well as level (Honors, CP, etc), and hours needed.


  • How many weeks, months, or years are needed?
  • If yes, please enter it below.
    DD slash MM slash YYYY
  • How many hours? Only a number please.
  • If yes, please explain below.
  • If yes, please explain below.


    By typing your full name below, you agree to our Terms & Conditions and guarantee that all information provided in this form is accurate.

Upon successful form submission, a confirmation email will be sent to the school contact email address listed on the form.  If one is not received, please re-enter the information and re-submit or call the corporate office at (877) 732-9101 for assistance.