College Consulting Intake Form — A List Admissions and Tutoring

COLLEGE CONSULTING INTAKE

Student's Name:

Parent Name:

Address:

Phone

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Current Grade Level:

Student's Age:

Name of School:

Student’s academic strengths:

Student’s academic weaknesses:

Student’s extracurricular activities/hobbies:

Does the student have any specific ideas as far as what they are looking for in a college? (i.e. size, location, major)

Has the student visited any college campuses?

If so, where and when?

Has the student taken the PSAT, PACT, or any official SATs or ACTs? If so, what were the highest scores. If not, are they thinking of pursuing the test prep process? Would you like information on our test prep services?