College Counseling Family/Student Information
Parent/Guardian 1 Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Marital Status
*
Please Select
Single
Married
Divorced
Other
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Student Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Birth Date
*
-
Month
-
Day
Year
Date
Student Current Grade
*
School Name and Location (City, State)
*
Siblings Names, Ages and Current Schools
Student Interests and Extra Curricular Activities
*
Back
Next
Test Name and Scores
GPA
Student's Goal
Please Select
College/University
Gap Year
Military Academy
Career
Other
Preferred Meeting Location
*
Please Select
Philadelphia In-Person
Virtual
Name & Email of school guidance counselor and any outside-school academic supports for your child, such as tutors.
Please share the story of your family. What our your family's cultural and geographic stories? Has your child attended high schools other than their current school? What is your family's current living situation? Who are some extended family, chosen family or communities that are important in your child's life?
*
Please share anything else in your child's personal or educational background that would be helpful (such as special talents/interests, learning disability, languages other than English spoken at home, medical concerns, personal losses, repeated school year, etc).
What are some important qualities for your child's college, in your opinion? (such as school size, location, cost, prestige, school culture, etc)
*
Please list any colleges that you think could be a good fit for your child.
Will the availability of financial aid or scholarships influence your child's choice? Have you discussed this question with your child?
Anything else you would like us to know? Thank you!
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