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Student Intake Form
To be completed by student
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Preferred method of contact
Email
Text
Call
Preferred pronouns
Your answer
Which colleges are at the top of your list? Or, which colleges have you considered applying to?
Your answer
Are there any must-haves in terms of colleges? For example, Greek life, small class sizes, etc.
Your answer
What size college do you prefer?
Small - 5,000 students or less
Medium - 5,000-15,000 students
Large - 15,000 students or more
What is your weighted GPA?
Your answer
What is your unweighted GPA?
Your answer
What else would you like me to know about you?
Your answer
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