New Student Questionnaire

New Student Questionnaire

To enroll please complete all questions - do your best - answer N/A if not applicable
Student Name*

First NameLast Name
Email (that you check somewhat frequently :)*
example@example.com
Cell Phone*

Area CodePhone Number
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Parent 2 Name

First NameLast Name
Parent 2 Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
College Board ID (if known)
College Board PW (if known)
Common App ID (if known)
(If known)
Common App PW (if known)
(If known)
Naviance ID(if known)
Naviance PW (if known)

Family Information
Father's Highest Level of Education

High SchoolSome CollegeBachelor's degreeGraduate Degree
College(s) attended & occupation
Mother's Highest Level of Education

High SchoolSome CollegeBachelor's DegreeGraduate Degree
College(s) Attended & Occupation

Your "Deep Thoughts" About Your Future
Hobbies/stuff you do for fun?
This helps us recommend careers
Are there any specific careers you're currently interested in...and WHY?
Have you ruled out any specific careers...WHY?
How important is earning a high income to you?

Very ImportantImportantConsideredNot considered
Are there any specific colleges you're currently interested in...and WHY?

All Children In Family

Yes, include yourself :)
Child 1

First NameLast Name
Gender
Age
Child 2

First NameLast Name
Gender
Age
Child 3

First NameLast Name
Gender
Age
Child 4

First NameLast Name
Gender
Age
Colleges Attended By Siblings
Enter N/A if none in college
Optional "Extra Stuff" Section
Tell us anything else about you that you want us to know. :)
Congrats - You're Done!

Click below to send your questionnaire to us :)
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