TEST Prep Registration Form

1
Student Name* This field is required.
*First Name
*Last Name
2
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3
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7
Parent/Guardian NameAdult learner may skip this.
*First Name
Middle Initial
*Last Name
8
Parent/Guardian EmailAdult learner may skip this.
example@example.com
9
Parent/Guardian Phone Number
10
Select the Course You’re Registering for:* This field is required.
ACT Prep Course (12 Hour Course)
ACT Prep Course (8 Hour Refresher Course)
CLT Prep Course (8 Hour Course)
Other Test Prep Course (PERT, ASVAB, GED, GK Math, TOEFL)
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What is the student’s test date?
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Additional CommentsList any areas of academic concern, and please identify any documented learning specialties or limitations in the space provided. Also indicate if the student is expected to receive accommodations during the test.
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Please submit the following documents:1. Your learner’s most recent standardized test (score report) 2. Your learner’s IEP or 504 plan (if applicable)
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(12 Hour Course) ACT Test Prep Course
This 12-hour test prep course meets once a week for at least two hours each week. The price includes a ACT test prep book. Payments are not taxed, however a 4% card processing fee is added.
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(8-Hour) Refresher Course
This test prep course meets once a week for at least two hours each week and can consist of a mixture of virtual and in person sessions. This course can also consist of fewer than 8 hours, when utilizing the virtual option. The price does not include a test prep book. Payments are not taxed, however a 4% card processing fee is added.
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PLEASE NOTE: REACH ACT Test Prep Courses are typically held on Saturdays from 10:30-12:30 pm. There are no make up dates for missed sessions. Please assess your schedule to determine that you learner is available for the full 6 sessions of the Test Prep Course (or the 4-session Refresher Course). All schedule adjustments should be requested before the course begins. Once we've confirmed your time slot, it's important that you commit to attending at the agreed upon time.
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Signature* This field is required.Please indicate your acceptance to the terms above, by signing the acceptance portion of this form.
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