Polaris Humanities Circle Enrollment Form
To reserve your spot, please be sure to complete the payment after submitting this form. We look forward to welcoming you to our Polaris Humanities Circle!

**Course Listing

**1-on-1 Writing Coaching
https://www.polariscollegecounseling.com/private-coaching 

**Course Enrollment

**Rates for Self-arranged Study Groups
1 student: $120/hr
2 students: $70/hr 
3 students: $60/hr 
4 students: $50/hr

**Rates for 1-on-1 Writing Coaching:
5-hr package: $140/hr 
10-hr package: $120/hr

---
The first email you provide below is where you will receive a response receipt. You may edit your response after submission.  
Sign in to Google to save your progress. Learn more
Email *
Student Name (First & Last) *
Student Gender
Student Grade *
Student School, City, State *
Student Email (Gmail is preferred for us to share class materials later.) *
Parent/Guardian Name (First & Last) *
Parent/Guardian Email  (Gmail is preferred for us to share class materials later.) *
Parent/Guardian Phone Number (example: ###-###-####) *
Parent/Guardian WeChat
Which program will your student take? *
Required
**Open Enrollment Courses** Please refer to our Open Enrollment Courses Announcement and write down your chosen time slot:
Are you interested in our support to set up a smaller Self-Arranged Study Group?
Clear selection
How did you hear about us?
Clear selection
Polaris Humanities Circle Enrollment Agreement
- English
- Chinese Translation 《北极星人文特训上课须知》中文参考翻译 
Refund Policy
Cancellation Initiated by Client
- Before the course starts, the tuition is fully refundable as a non-expiring credit to be used for future Humanities Circle courses; the credit can be transferred to other students.
- After the 1st class, a prorated refund will be offered.
- After the 2nd second class, we will be unable to honor refund requests. 

Cancellation Initiated by Polaris
- Polaris reserves the right to cancel the class due to insufficient enrollment or unforeseen circumstances, in which case a full refund will be issued in the original payment method.
Disclaimer of Warranties and Indemnification
  1. For regular courses: Polaris does not guarantee any specific outcomes as a result of the course as the effectiveness of the course depends as much on the instructor’s dedication as on the student’s commitment. 
  2. For writing contest coaching: Polaris makes no promise concerning the likelihood of the student’s success in the writing context, as the decisions are made by randomly assigned reviewers, and are dependent on a variety of factors outside of Polaris’s control, including but not limited to the student’s commitment to writing and revision as well as the reviewers’ personal taste.
  3. Online platform: Polaris is not liable for data loss on Google Drive due to any technical or human errors. Students are advised to back up online documents weekly into locally accessible formats.
  4. Indemnity: The student and the parent agree to indemnify, defend, and hold Polaris harmless from and against any claims, losses, damages, liabilities, costs, and expenses, including, without limitation, reasonable legal fees and disbursements, relating to or arising under or out of the relationship between the student/parent and Polaris through the Polaris Humanities Circle program.
Parent/Guardian AND Student: By signing my full name below, I hereby acknowledge that I have read, understand, and accept the (1) Polaris Humanities Circle Enrollment Agreement, (2) Refund Policy, and (3) Disclaimer of Warranties and Indemnification.  *
Payment Options *Please note "Student Name - Class Schedule" in the memo while making payment. *Enrollment is confirmed only after payment is received. **For Specially Arranged Study Groups, the course fee is based on the class size. Once a group is formed, you will receive an invoice to proceed with payment. *
If you pay through the Enrollment Page, please write down the email you used during the transaction for us to match your Enrollment Form with your payment. 
 *
Please share your student's English abilities (reading, writing, and communication), course expectations, and other relevant information for a premier learning experience.
 *
Writing Samples
For new students: 

At least 1 week before the course starts, please email us (office@polariscollegecounseling.com) 1-2 writing samples that represent your best thinking and writing abilities for our mentor to fine-tune the course content. 

We recommend 1 analytical writing sample (e.g. literary analysis) and 1 creative writing (e.g. story, poem, song, and script) sample. The samples can be selected from writings for school English/history/social studies courses, and should be completed by the student without external editing support. 
Thank you for joining our Polaris community!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Polaris College Counseling LLC. Report Abuse
Google Forms