Student Name
*
First Name
Last Name
Student Email
*
Student Cell
Grade
*
Name of High School
*
Contact Parent or Guardian
*
First Name
Last Name
Parent/Guardian Email
*
Parent/Guardian Cell
Which days of the week are you available for tutoring?
*
Do you have any unique scheduling circumstances?
Which of our services are you interested in (select all that apply)
*
Have you taken the SAT/ACT yet?
For any tests taken (including the PSAT, SAT, Pre-ACT or ACT), please detail score breakdowns and include test dates below
I.e., Reading, Writing & Language, Math Calculator and Math No-Calculator
Do you have any future tests scheduled? (If so, please provide any dates)
*
Are there two or three colleges that you are targeting as your top choices or "dream schools"?
Do you have any colleges that you would consider "safeties"?
Have you selected an intended major(s)? If not, which majors interest you the most at this moment?
Are you currently being recruited as an athlete, or are you interested in athletic recruiting in the future?
*
If you are involved with athletic recruiting, please detail your contact so far with coaches:
*
Are you planning to (or are you interested in) submitting an Arts Portfolio with your college applications?
*
Are you planning to apply for Pre-Med or Pre-Law programs?
What is your current GPA (both weighted and unweighted)?
What are your most important criteria when it comes to your college search?
*
In your own words, please briefly describe what you are most looking forward to getting out of your college experience?
*
How did you hear about us? If personal referral, please detail below.
*
