Test Prep Student Information Form
After completing, we will be in touch to suggest a testing timeline and prep plan to maximize student performance.
Student Name
*
First Name
Last Name
Location
*
Greater Cincinnati
Greater Cleveland
Other
What test is your student interested in prepping for?
ISEE (private HS entrance)
HSPT (private HS entrance)
PSAT/National Merit Scholarship
ACT
SAT
Gender
*
Female
Male
Prefer not to answer
High School Graduation Year
*
2026
2027
2028
2029
Other
Parent/Guardian Name
*
First Name
Last Name
Parent E-mail
*
So that we can get back to you
Parent Cell Phone Number
*
-
Area Code
Phone Number
Which high school does he/she attend?
*
What is his/her approximate GPA? (Prefer unweighted)
*
Over 4.0
3.8 - 4.0
3.5 - 3.79
3.3 - 3.49
3.0 - 3.29
2.8 - 2.99
2.5 - 2.79
Below 2.5
For each content area, what type of rigor is being pursued in the junior and senior years? In what level of course work is the student enrolled?
College Prep
Honors
AP
College Credit
English
Math
Science
Social Studies
Do you have a goal ACT or SAT score? If so, what?
What high school math course is the student taking this year?
*
Geometry (Math 2)
Algebra II (Math 3)
Precalculus
Stats
Calculus
Other
Has your student done any formal test prep? If so, what program?
If your child did formal test prep or not, have they worked in the red ACT published book, "The Official ACT Prep Guide"? "The Official SAT Study Guide"?
Yes
No
Unsure
Does your student tend to run out of time on standardized tests?
*
Yes
No
Has your student been granted extended time on the ACT or SAT?
*
Yes
No
We will apply later
IF your child has been granted extended time, is he or she STILL running out of time even with extended testing time?
Yes
No
Does your student have test anxiety?
*
Yes
No
IF yes, is your child medically treated for anxiety with medication or counseling?
Yes
No
Expected Test Date(s)
*
Previous Pre ACT Scores
PreACT
Composite
English
Math
Reading
Science
Month of Test
Year of Test
Diagnostic/Practice ACT Scores
Diagnostic/Practice ACT
Composite
English
Math
Reading
Science
Month of Test
Year of Test
Was your diagnostic/practice taken with LEAP.
Yes, with LEAP.
No, elsewhere.
Previous Official ACT Scores
1st ACT
2nd ACT
3rd ACT
Composite
English
Math
Reading
Science
Month of Test
Year of Test
Previous Official PSAT Scores
10th grade PSAT
11th grade PSAT
Total Score
Reading & Writing
Math
Selection Index
Month of Test
Year of Test
Diagnostic/Practice SAT Scores
Diagnostic SAT
Total Score
Reading & Writing
Math
Month of Test
Year of Test
Was your diagnostic/practice taken with LEAP.
Yes, with LEAP.
No, elsewhere.
Previous Official SAT Scores
1st SAT
2nd SAT
3rd SAT
Total Score
Reading & Writing
Math
Month of Test
Year of Test
Additional helpful comments.
After school activities & commitments.
Colleges the student is considering.
College Major/s the student is considering.
How did you hear about LEAP?
What test is your student registered for?
*
Paper ACT
Online ACT (limited availability of test sites-check first)
Digital SAT
Send Now!
Should be Empty: