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Name of parent/guardian (or other adult requesting services on behalf of student)
Email of person named above
Student's name
Student's email
Year the student will graduate from high school
City and state student lives in
Select all that apply to the student:
has been/will be homeschooled for any part of high school
is considering applying to a military academy and/or ROTC
has a parent who is on active military duty
has a parent who has retired from the military
has a parent who has previously served in (but not retired from) the military
is twice exceptional (gifted and has a learning disability, ADHD, and/or ASD)
neither parent has graduated from a 4 year college
one or both parents attended college, but not in the U.S.
None of the above apply
What are you seeking help with? Check all that apply.
preparing for college (8th-10th grade)
major/career exploration (8th-12th grade)
deciding where to apply (11th-12th grade)
college applications (11th-12th grade)
homeschool documentation for college applications
Other (please explain below)
Is this a request for a free initial consultation?
Yes
No (please explain what you are contacting me about below).
How did you find me? Please be specific (name of Facebook group or person who referred you).
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