Pre-Educational Assessment Form

Name

First NameLast Name

Time Zone

Student Email: Tutors will use Google Drive so a Gmail address is strongly recommend.

example@example.com

Student Phone Number: We require all test prep students to be included in their WhatsApp Firat Support group messages so they can take ownership of their action plan.

Please enter a valid phone number.Format: (000) 000-0000.

High School Name

If you have attended more than one high school, please list the high schools and dates attended.

Graduating Year

Current GPA and Rank

Please upload a copy of your most updated transcript

Please list your current course schedule.

Be specific regarding AP, Honors...etc.

What is your favorite and/or best class(es) and why?

What is your least favorite and or worst class(es) and why?

How easy is it for you to focus during the school day?

1 is Very Difficult, 5 is Very Easy

How confident are you in your ability to study or do homework effectively?

1 is Not Confident, 5 is Very Confident

How much do you feel like you struggle with test anxiety?

1 is Not at all, 5 is All the time

Do you find it easy or difficult to stay organized when you study? Why?

What is your favorite or most effective way to study? i.e. flash cards, talking out loud/teaching back, peer review, annotating, making a study guide, practicing/doing, etc. Please elaborate as much as possible on the best ways you learn.

Do you have any diagnosed learning differences, or do you have any suspicion you may have an undiagnosed learning difference? If diagnosed, please include the age/grade you were diagnosed in and list any daily medications.

Are there any coping strategies you find helpful for navigating your learning differences? Please specify or write N/A.

If you do have any learning differences, please upload supporting documents here.

What do you hope to accomplish through partnering with us? How can we best support you whether that be through test prep, college counseling, college essays, ADHD coaching, life skills, study skills, etc?

Please list all of your honors and awards, including dates.

Please list all of your past and current community service.

Please list all of your past and current internships and jobs.

Do you play any sports? Please list current and past sports including dates.

Are you involved in any clubs or organizations? Please list including dates.

What do you usually do over your summer? What do you plan to do this upcoming summer?

Please list all official and practice test scores (SAT, ACT, PSAT, Pre-ACT) and source of test (i.e. Kaplan, CollegeBoard...etc)

Please upload all standardized score reports (official or practice).

Open this EA College and Major Google Sheet, make your own copy/download, complete BOTH the College and the Major tabs (at the bottom of the Google Sheet), then upload the completed form below. We recommend you complete this form with your parents.

Please upload the complete College/Major excel spreadsheet from above.

Please use this space to let us know anything else about you and your college admissions or future goals.

Is there anything you would like us to know about your past or present physical, mental, or emotional health that may impact your learning experience? Please elaborate as much as you are comfortable. All answers are confidential.

What coping strategies do you use to manage stress, burnout, or emotional challenges?

How do you prefer to receive support when facing challenges such as stress or burnout?

Please use this space for any other information you'd like to share.