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Academic Think Tank Test Prep Registration Form
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Academic Think Tank Test Prep Registration Form
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Academic Think Tank Test Prep Registration Form
* Required to Checkout
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email Address
*
Street Number
*
Street Name
City
*
State/Province
*
Zip/Postal Code
*
Parent/Guardian Phone Number
*
Emergency Contact Primary
*
Emergency Contact Secondary
*
Student’s First Name
*
Student’s Last Name
*
Student’s Birthdate
*
mm
/
dd
/
yyyy
Student’s Gender
*
Student’s Grade Level
*
Student’s Approximate GPA
Student’s Grades (Include each subject)
*
Has the student taken the ACT?
*
Yes
No
If yes, Most Recent Composite Score Date, Reading Score, English Score, Math Score, Science Score?
Has your student taken the SAT?
*
Yes
No
If yes, Most Recent Composite Score Date, Reading/Writting Language Score, Math Score?
Has the student taken the PSAT
*
Yes
No
How does the student respond to standardized testing?
*
Which National Test does the student plan to take?
*
Has the student taken an All School Test? If so, when? Score?
*
Has the student prepared for this test before? If so, when? How?
*
Target Colleges/University
*
On a scale of 1-10, how committed is your child to a test prep program? (1=None, 10= Extremely)
*
On a scale of 1-10, how important is it that your child achieves their score goal? (1=None, 10= Extremely)
*
Please describe the student's learning style
*
Visual Learner
Auditory Learner
Kinesthetic Learner
Read/Write Learner
What do you expect from the Academic Think Tank Test Prep Program?
*
*Enter Registration Discount Code
Parent/Guardian Signature
*
Enter Signature
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