Please initial below that you understand that this program will be in person. The location is 2295 Benjamin Mays Drive, SW, Atlanta 30311.
Your answer
Student's Name *
Your answer
Grade CURRENTLY (Spring 2023) *
School *
Your answer
Student's email *
Your answer
Student phone
Your answer
Parent Name *
Your answer
Parent Phone *
Your answer
Parent email that is checked regularly *
Your answer
Address. Please include CITY and ZIPCODE! *
Your answer
Previous ACT or SAT scores (Date taken; Total and subtest scores)
Your answer
Challenges: Has the student ever had learning or behavioral challenges or issues that required tutoring, counseling, special classes, 504 Plans, etc.? If yes, please describe briefly.