Student and Family Consultation Request Form

Copperstone Education Students and Family Consultation Request Form

Middle East and Africa Only
At Copperstone Education, powered by EdOptions Academy, we are dedicated to helping students and adult learners achieve their academic and career goals through personalized pathways to success. Whether you are pursuing a U.S. high school diploma, preparing for university entrance exams, or seeking tailored academic support, our team of expert advisors is here to guide you. Complete the form below to request a consultation, and one of our specialists will contact you to discuss your needs, answer your questions, and design a plan tailored to your goals.
Student Information
Name of Student*
Emirate (If UAE) or City and Country*
Phone Number*

Country CodePhone Number
E-mail*
example@example.com
Parent Information
Full Name of Parent (If student is under 18 years of age)

First NameLast Name
Parent Phone Number*

Country CodePhone Number
Parent E-mail*
example@example.com
Program(s) of Interest
Which Copperstone Education services are of interest to you?*

US High School Diploma ProgramCredit RecoverySAT / ACT PreparationAdvanced Placement (AP Courses)College Essay for University AdmissionsIndividual Tutoring and Exam PrepWorld LanguagesStudent Volunteer Services and Internship Opportunities / Teen Leadership SummitOther
"To ensure a productive discussion, what is your preference for how we conduct this meeting?*

Via ZoomVia Phone CallOther
If other, please provide more details.
Select an Appointment Date*
Comments
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Copperstone Education Students and Family Consultation Request Form

Student Information

Parent Information

Program(s) of Interest