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SAT/ACT Test Prep
New Student In-take Form:
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Student's Name
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First
Last
Student's Address
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Line 1
Line 2
City
State
Zip Code
Country
Student's Email
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Student's Cell Phone Number
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Student's High School
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Student's Date of Birth
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Graduation Year
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Parent Information
Mother's Name
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First
Last
Mother's College Attended
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Mother's Email
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Father's Name
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First
Last
Father's Email
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Mother's Cell Phone
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Father's College Attended
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Father's Cell Phone
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Sibling Names and Schools Attending (if applicable)
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I live with (choose one):
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Both Parents
Mother
Father
Other
if other whom:
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List TOP 5 Colleges you are considering (in order of preference)
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List Top 5 Potential Majors
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Upload ALL Standardized Testing Student Reports for ACT and/or SAT
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Max file size: 20MB
What else would you like us to know about you? Consider adding things that will help in our scholarship search.
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