Registration Form
Youth Aptitude & Interest Assessment (적성검사/상담 신청서)
Student's Information
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Student's Year of Birth *Only used for statistic purpose*
*
Current Grade
*
School Name
Parent Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Assessment & Counseling Fee (적성검사/상담 비용)
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Aptitude test
$
180.00
Credit Card Details
First Name
Last Name
Credit Card Number
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