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Initial Parent Intake Form
Parent Name
First Name
Last Name
Parent Preferred Email
example@example.com
Student Name
First Name
Last Name
Describe your educational background.
e.g. High School Graduate, Technical School, Bachelors Degree, Graduate/Professional Degree
Do you have any other children in college/graduated from college or a post-secondary institution?
Yes
No
Are there any legacy considerations that we should know about?
Any family members who have graduated from specific institutions
Please list 5 adjectives that describe your student
What are your student's greatest strengths (list up to 5)?
What are your goals for your student?
How would you define post-secondary success for your student?
Is it your child being admitted to a specific school? Is it your child pursuing his/her passion? Is it your child being happy?
Are you planning to apply for financial aid/scholarships?
Yes
No
I'm not sure
Are there any parameters to consider with regards to post-secondary education?
Religious preference
Learning Disability support
Merit scholarships
Other
What geographic areas are you open to exploring?
Rocky Mountains
Pacific Northwest
California
Northeast
Southeast
Midwest
Southwest
I prefer to stay in-state
International
Is there anything else you would like to share with us as we begin to explore post-secondary planning with your student?
Submit
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