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Consultation Form
Student Information
First name
*
Last name
*
Gender
Student's Email
*
Student's Phone Number
*
Please use parent phone number if student does not have own phone.
Time Zone
*
Please Select
PST
MST
CST
EST
China
Other
School Name
*
Current Grade
*
Year of Graduation
*
Street Address
*
City
*
State/Region
*
Place of Birth or Years in U.S.
Date of Birth
*
Guardian: Last Name, First Name
*
Guardian's Email
*
Guardian's Phone Number
Relationship to Student
What services are you interested in?
*
Schoolwork Help
Curriculum/Activity Planning
Test Prep
Life Goal Setting
College Application
Other
Applying for financial aid for college?
School & Test
Unweighted GPA
Weighted GPA
Strong Subjects
Weak Subjects
College-Entrance Standardized Tests (PSAT/ SAT/
ACT/
SAT SUB/
AP
)
PSAT Score
PSAT Date
Year
/
Month
/
Day
SAT Score
SAT Date
Year
/
Month
/
Day
ACT Score
ACT Date
Year
/
Month
/
Day
SAT Subjects and Scores
AP Exams and Scores
Prospect Majors and Colleges (Top Choices)
Prospect Majors
Prospect Colleges (Top Choices)
Tell Us About Your Extracurricular Activities
Sports
Music
Award / Honors
Volunteer
Other
Summer Activities (Past activities & planned activities)
9th Grade
10th Grade
11th Grade
How do you hear about us?
Country/Region
Submit