AP Chemistry Prep: Student Information
Student Name:
*
First Name
Last Name
Student Email Address:
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example@example.com
Parent/Guardian Name:
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First Name
Last Name
Parent/Guardian Email Address:
*
example@example.com
Are you in the USA or other country?
USA
Non-USA
Country
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province/District
Postal / Zip Code
Age (on Monday, August 21)
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14
15
16
17
18
Grade Level (on Monday, August 21)
*
9th
10th
11th
12th
How would you describe yourself in terms of your schooling?
*
HS - Homeschooler
TS - Traditional School Student
How did you find Mr. Moskaluk's AP Chemistry Prep Course?
*
AP Homeschoolers
ChemAdvantage
Homeschool Student
Homeschool Parent
School Counselor
Social Media
Other
What made you decide to take Mr. Moskaluk's AP Chemistry Prep Course?
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