JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Diagnostic SAT/ACT Test Registration
Time: 9:00am
Event Address: Industrious Short Hills (Short Hills Mall, 3rd Fl near Crate & Barrel)
Questions? Call or text Marina at 917.409.6580 or Email
marina@learnwithmyprep.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What date would you like to register for?
Students will only be able to take 1 test on each date. Students that want to try both tests should register for multiple dates.
*
Sunday, Nov 19 at 9:00am
Sunday, Nov 26 at 9:00am
Sunday, Dec 3 at 9:00am
Required
Student Name
*
Your answer
Student Email
*
Your answer
Parent Name
Your answer
Parent Email
*
Your answer
Parent Cell Phone
*
Your answer
What school does the student attend?
*
Livingston HS
West Orange HS
Columbia HS
Millburn HS
Montclair HS
Montclair Kimberly Academy
The Pingry School
Other:
What grade is the student in currently?
*
9th grade
10th grade
11th grade
12th grade
Other:
Would you like to schedule a free score consultation following the test?
Yes
No
Clear selection
Which test?
*
SAT
ACT
Both, I'm registering for several dates
Does your student receive testing accommodations such as extra time?
*
No
Yes, 1.5x time (extra time)
Yes, 2x (double time)
Other:
I understand that I must send payment ($25) via Venmo (@myprep) or Zelle (973.704.1967) in order to secure my spot. If you'd like to pay a different way, please select Other and include a note.
*
Yes, I'll send payment through Venmo
Yes, I'll send payment through Zelle
Other:
Required
Would you like to receive information about other events and services from MYPrep?
Yes
No
Clear selection
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of MYPrep.
Report Abuse
Forms