College Guidance - Student Information
Thank you for your interest in meeting with a College Coach from Westchester Library System.

Fill out as much of this form as you can; once I receive it I will schedule our first meeting.

This information will be confidential and will only be used to help you with your educational goals applying to college.
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Email *
First Name *
Last Name *
Phone # *
Email (please confirm the email you want me to use) *
What do you need assistance with? (Check all that apply)
Name of High School *
What year of high school are you in now? *
Are you able to connect for a video call using Zoom or Hangouts?  This will allows us to share screens and navigate online resources together. *
College Guidance hours are Mondays and Wednesdays.  Check ALL days and times that are best for an appointment in the list below.  .... If you can't make any of these times, leave the check boxes blank and we'll contact you to figure out what can work!
4:30
5:30
6:30
Monday
Wednesday
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