CONTACT Name * First Name Last Name Email * Address * Phone * (###) ### #### Are you the Parent or Student filling out this form? * Parent Student Other What service are you interested in? * 60 min coaching call Submitting a writing draft for review 1-on-1 Coaching for Essays/Letters/Writing Private College Admissions Consulting with Alexis Other Current Grade Level? * Student's Age * Name of Current School Please fill out the following only if you're interested in a 60-min coaching call* What do you want to go over during your 60-min coaching call? Please fill out the following only if you're interested in private consulting* List Student’s Academic Strengths: List 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? What do you feel like you will need help with throughout the college admissions process? Would you like information on our test prep services? Yes No Please fill out the following only if you're interested in 1-on-1 Essay/Letter/Writing coaching* Please check what type(s) of essay coaching you are interested in: Common Application Personal Statement School Specific Supplemental Essay(s) Scholarship Essay(s) Graduate School Application Essay(s) Letters of Continued Interest Deferral Statements General Correspondence College & Professional Resume Other (please explain) If other please explain: Please explain where you are in the process? Do you have drafts completed? Are you in the brainstorming process? What schools are you applying to (please indicate whether the school is a SAFETY, MATCH, or REACH)? When is your earliest due date? Please let us know anything else you think will be helpful to ensure that we provide you with the best support possible: Thank you!
