Student Information

Please only put the contact information of the student

First Name *

Last Name *

Phone *

Email *

Parent Information

Please only put the information for the parent

Full Name *

Parent Phone Number *

Parent Email *

Next, we will need some information about the student's academics to gain a deep understanding.

What is the name of you/your child's High School? *

What Grade are you/your child in? *

What is your/your child's overall GPA (approximately)? *

Have you/your child taken any AP, IB, or college level courses? *

Yes

I'm not sure

If yes, please list any relevant advanced coursework.

If possible, please upload a picture of a recent report card or transcript.

Have you/your child taken an SAT, PSAT, or ACT? *

Yes

I'm not sure

If yes, please write out which exam and the most recent score

If you/your child took any other relevant exams, please list them here.

Extracurricular Activities & Achievements

Please list all of your extracurricular activities (clubs, jobs, research, sports, volunteer work, etc.). Please include a brief description for each.

Which extracurricular activity are you most passionate about, and why?

Have you started any personal projects, businesses, or organizations? If yes, tell us about them.

List any leadership roles you’ve held (e.g., president of a club, team captain).

List any awards, honors, or recognitions you’ve received (school, regional, national, or international).

Have you done any research projects, internships, or work experiences? If yes, please describe.

Have you participated in any summer programs, college courses, or enrichment activities? If yes, please describe.

Personal Story & Interests

What are your top 3 dream colleges? (If unsure, just list some schools you’re interested in)

What majors or academic areas are you considering? (It’s okay to say "undecided")

Do you have a dream job or career in mind? (Optional — write "undecided" if unsure)

What are your favorite hobbies or interests?

Would you like to live on campus, at home, or other?

On campus

Home

Other

Would you like to attend university within a particular location? If you want to stay home, just type in stay near home.

Is there anything else we should know about you? (Special circumstances, family background, goals, etc.)

Do you have any specific questions or concerns you want to discuss during our consultation?