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1
First Name
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2
E-mail
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3
Phone Number
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4
I'm a ...
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Parent
Student
Educator
Other
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5
I am currently in ...
Middle School
9th grade
10th grade
11th grade
12th grade
College
Other
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6
My child is in ...
Kindergarten - 5th grade
9-10th grade
6-8th grade
12th grade
College
11th grade
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7
I would like help with ...
College Application Essay
Choosing Colleges
College Applications
Choosing a Major
Career Advice
Pre-professional Programs
Private High School Application
Extracurricular Activity Planning
Interview Preparation
Other
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8
The best way you'd like me to get in touch with you...
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Phone Call
WeChat
Text Message
Email
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9
WeChat ID
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10
When are some good times slots for me to call you?
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11
Anything else I should know about you?
Or tell me more about how I can help you.
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