Individualized College Consulting Request
Please fully complete this form so that we can provide a suggested customized solution matched to your best fit college counselor, and pricing based on your needs and goals for the college bound journey. We sometimes have more requests than we are able to accommodate, but do our best to match all requests to a college counselor. We will email you with our customized suggested coaching solution for you to review and ask any questions you may have. Completing this application does not indicate a commitment on your part to work with Seeley Test Pros & LEAP.
Student Name
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First Name
Last Name
Gender
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Female
Make
Prefer not to answer
Student graduation year
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Location
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Greater Cincinnati Area
Great Cleveland Area
Other
Parent/Guardian Name
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First Name
Last Name
Parent Email
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example@example.com
Parent Cell Number
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-
Area Code
Phone Number
Your city, state
*
Your time zone
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Name of your high school
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Your unweighted GPA
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Please list any AP or Dual Enrollment/CCP courses pursued including in what grade, AP test scores for completed courses, and any details on rigor pursued.
Has your student take the PSAT, PreACT, ACT or SAT?
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Yes
No
Not yet but has registered
Your highest ACT Composite
Your highest SAT Total Score
Your most recent PSAT Selection Index
Intended College Major
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List all colleges to which you are confident you are applying, including honors programs.
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In what extracurriculars does your child participate?
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We are interested in (check all that apply)
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Complete college guidance services and application and essay coaching senior year
Guidance on building an college list that fits our goals
Resume and Extracurriculars coaching
Personal Statement Essay Coaching (main essay for all colleges)
Application Coaching (Application Project Manager & Proofreader)
Supplemental, College Specific Essay Coaching
Existing Essay Feedback and Proofreading (you have a good essay already!)
Application Final Review(s)
Has your teen identified a college major?
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Yes
No
Maybe
Is there a specific counselor/consultant you are requesting to work with?
Do you have a sibling or family member who used an independent college counselor?
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Yes, with Seeley Test Pros/LEAP
Yes, but not with Seeley Test Pros/LEAP
No
If you were referred by someone, please provide their name.
When would you like to get started
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How is the STUDENT feeling about the college bound journey?
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Excited and optimistic
Nervous and worried
Not sure how to feel
Neutral
How are the PARENTS feeling about the college bound journey?
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Excited and optimistic
Nervous and worried
Not sure how to feel
Neutral
At the time of the family request for assistance, where do you feel you are in the process?
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Ahead of schedule
On Target
Behind
Check your preferences:
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In-person meetings in Mason, OH, Columbus, OH and Philadelphia, PA (if available)
Online: Zoom, phone calls, emails, shared Google Docs
I have no preference
Thinking about your family schedule - vacations, jobs, activities...anything competing for your time. What is your availability to meet with your counselor? What is generally the earliest time you can do after school? Do you require evening or weekend meetings?
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How did you hear about us?
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Additional information you'd like to share?
Submit
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