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Parent/Guardian name
Parent/Guardian email
Student name
Year the student will graduate from high school
City and state student lives in
Select all that apply:
Student has been/will be homeschooled for any part of high school.
Student has a parent who is an active duty member of the military.
Student has a parent who has retired from the military .
Student is considering applyng to a military academy or ROTC.
None of the above apply.
What services are you seeking? Check all that apply.
Guidance finding colleges to apply to
Figuring out what to study or what career to pursue
Help with college applications
Assistance with homeschool documentation for college applications
Guidance for 8th-10th grade student on preparing for college
Other (please explain below)
Is this a request for a free initial consultation?
Yes
No (please explain what you are contactiong me about below).
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