Learning to Leadership™ Discovery Consultation Request
Thank you for your interest in the Learning to Leadership™ Student Success Academy, a signature initiative of Green Kingston Group LLC.Our Discovery Consultation is an opportunity for us to learn about your student, understand your family's educational goals, and discuss how we may support your student through personalized mentoring, leadership development, college and career planning, scholarship guidance, and academic success.Please complete this form. It takes approximately 5 minutes to complete. A member of our team will contact you within 2–3 business days to schedule your Discovery Consultation.
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Relationship to Student
Please Select
Mother
Father
Legal Guardian
Grandparent,
Other
Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Communication
Email
Phone
Text Message
Whatsapp
City
State/Province
Country
*
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Student Information
Student Name
First Name
Last Name
Current Grade
*
Please Select
9th
10th
11th
12th
Gap Year
College Freshman
College Sophmore
College Junior
College Senior
Other
Current School
*
Country of School
*
Expected Graduation Year
*
Please Select
2027
2028
2029
2030
Which Learning to Leadership™ pathway are you most interested in? ⭐
Please Select
Foundation Pathway (Grades 9–10)
University Success Pathway (Grades 11–12)
Signature Scholar Pathway
College Success Coaching
I'm Not Sure Yet — I'd like guidance.
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Student Goals & Interests
What are your student's greatest strengths, talents, or interests?
*
What educational or career goals has your student expressed?
*
Which areas would you like Learning to Leadership™ to support?
*
What is your family's biggest concern or challenge at this time?
*
If your student could accomplish one major goal during the next 12 months, what would you want it to be?
*
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Discovery Consultation
How did you hear about Learning to Leadership™ ?
*
Green Kingston Group Website
Instagram
Facebook
LinkedIn
Heritage International Leadership Academy (HILA)
School Referral
Friend/Family
Community Organization
Other
Preferred Consultation Day(s)
*
Preferred Time
*
Morning
Afternoon
Evening
Is there anything else you would like us to know before your consultation?
ACKNOWLEGEMENT
*
I understand that this consultation is designed to explore my student's educational goals and determine the most appropriate Learning to Leadership™ pathway.
I understand that submitting this form does not enroll my student in a Learning to Leadership™ program.
I authorize Green Kingston Group LLC to contact me regarding this inquiry.
Request My Discovery Consultation
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