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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:
-
Arizona State University
Cincinnati State
Colorado State University
Illinois State University Graduate School
Kent State University
Metro State
New Mexico State University
New Mexico Tech
North Dakota University System
Northern Arizona University
Northern Michigan University
Southern Illinois University
University of Arizona
University of Cincinnati
University of Colorado at Boulder
University of Colorado at Denver
University of Kansas, Lawrence
University of Missouri - Kansas City
University of Missourri at Columbia (Mizzou)
University of New Mexico
University of Northern Colorado, Greeley
University of Utah
Utah State University
Utah Valley University
Other
Other School (if not in list):
Started School:
- Season -
Spring
Summer
Fall
Winter
- Year -
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Expected Graduation:
- Season -
Spring
Summer
Fall
Winter
- Year -
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
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
- Please Select -
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:
- Please Select -
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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.