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Application
First Things First I am filling out this application for:         Myself         My Student
Student Contact Info
First Name:
Last Name:
Phone:
Email:
Parent Contact Info
Please fill in the contact info for whichever parent or guardian you would like us to contact.
First Name:
Last Name:
Email:
Phone:
City:
State:
School Info
School:
Other School (if not in list):
Started School:  
Expected Graduation:  
GPA:
SAT/ACT:
Major:
How is the student paying for college? Personally
Family/Friends
Loans
Parent/Guardian
Financial Aid
Other
The student is (check all that apply): Married
22+
Military Child
Graduate Student
Not a US Resident
In the Military
Student Athlete
In High School
Under 18
How You Heard About Us
How did you hear about us?
A Specialist All In Education
Internet Search Engine Other
Word of Mouth / From a Friend
If you selected other, please specify:
If you selected Word of Mouth/From a Friend, who referred you?
Availability
We generally do a phone interview with clients between the hours of 11am and 6pm mountain time, and will be reaching out soon to do so. If you have a most preferred time to talk please indicate below.
Weekday:
Time Slots: 11:00-11:30
11:30-12:00
12:00-12:30
12:30-1:00
1:00-1:30
1:30-2:00
2:00-2:30
2:30-3:00
3:00-3:30
3:30-4:00
4:00-4:30
4:30-5:00
5:00-5:30
5:30-6:00
Additional Info (optional)
Is there any additional information you'd like us to know?
You will receive email confirmation that your application has been submitted. If you have not received this confirmation within 12 hours please re-submit the application.
   
By submitting this application you are in no way obligated to work with us, and we never share your information with ANYONE.