Retail Class Request Form
Your Name
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First Name
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Your E-mail Address
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Territory
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MACS
National
Northeast
West
MACS Regions
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Chicago
DC
Philly
Minnesota_Wisconsin
South
Texas
Chicago Markets
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Downers_Grove_East
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Evanston
Lincoln_Park
Schaumburg
Minnesota_Wisconsin Markets
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Milwaukee
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DC Markets
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Baltimore
NoVA
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SoVA
The_Capital
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Philly Markets
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Allentown
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South Markets
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Athens
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Texas Markets
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Austin
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National Regions
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No region, go straight to market
National Markets
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Albany
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Northeast Regions
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Boston
NJ
NYC
Westchester_CT
Westchester-CT-Markets
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Connecticut
Westchester East
Westchester West
Boston Markets
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Metrowest
North Shore
South Shore
NJ Markets
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Bergen
Essex
Hudson
Hunterdon
Mercer
Middlesex
Monmouth
Morris
Passaic
Somerset
Staten Island
Sussex
Union
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NYC Markets
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Brooklyn
Long Island (North Shore)
Long Island (South Shore)
Manhattan (North)
Manhattan (South)
Queens
West Regions
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Golden Northwest
SoCal
Golden Northwest Markets
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East Bay
Portland
Sacramento Area
San Francisco
Seattle
Silicon Valley
SoCal Markets
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Inland Empire
North LA
Orange County
San Diego
West LA
PLEASE TYPE IN THE FACILITY NAME AS IT APPEARS IN GOLDMINE/KBS/MERCURY
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Facility confirmation
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I have confirmed this schedule with the facility.
The Facilities Team should confirm this schedule with the facility.
Enter a zip code near the facility
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Type of Class
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ACT
SAT
ACT Exam Cycle
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October 27, 2012
December 8, 2012
February 9, 2013
April 13, 2013
June 8, 2013
Fall 2013
SAT Exam Cycle
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November 3, 2012
December 1, 2012
January 26, 2013
March 9, 2013
May 4, 2013
June 1, 2013
Fall 2013
Do you want to build the class by base schedule and times, or do you want to list specific dates?
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Base Schedule and Times
Specific Dates
Start Date
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Month
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Day
Year
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AM/PM Option
Diagnostic
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Classroom Session 1
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AM/PM Option
Classroom Session 2
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AM/PM Option
Practice Test 2
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Classroom Session 3
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AM/PM Option
Classroom Session 4
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Month
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Year
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Hour
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10
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AM
PM
AM/PM Option
Practice Test 3
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Month
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Day
Year
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Hour
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AM
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AM/PM Option
Classroom Session 5
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Month
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Day
Year
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Hour
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10
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Minutes
AM
PM
AM/PM Option
Practice Test 4
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Month
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Year
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Hour
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AM/PM Option
Classroom Session 6
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Month
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AM
PM
AM/PM Option
On which day(s) do you want CLASS sessions to meet?
*
On which days(s) do you want TEST sessions to meet?
*
Weekday CLASS Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
Weekday TEST Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
Saturday CLASS Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
Saturday TEST Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
Sunday CLASS Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
Sunday TEST Session Times
*
Please Select
Not Applicable
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
Are there any dates that should be skipped?
Activation Instructions
*
Immediately Activate and Post on Web
Immediately Activate but do NOT post on web
Once Facility Approves Schedule - Activate and Post on Web
Once Facility Approves Schedule - Activate but do NOT post on web
Is the start date for this class within the next three months?
*
Yes
No
If yes, please give your reason for adding this class
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Type of Class--Open, Closed, etc
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Retail
KAS open to retail students
KAS closed to retail students
Does this class have a special price?
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Yes
No
What price should be associated with this class?
Does the class have a strict size limit?
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Yes
No
What's the maximum # of students allowed?
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