AP Chemistry Prep: Student Information
Student Name:
*
First Name
Last Name
Student Email Address:
*
example@example.com
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Email Address:
*
example@example.com
Age (on Monday, August 21)
*
14
15
16
17
18
Grade Level (on Monday, August 21)
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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?
*
Please verify that you are human
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