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Highlands Consultation - Student Form
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Email
*
Your email
Name of Person Completing Form:
*
Your answer
Email
*
Your answer
Phone
Your answer
Name of Student
Your answer
Relationship to you
Your answer
Email of Student
Your answer
Phone of Student
Your answer
Age
Your answer
Grade Level
Option 1
Clear selection
Name of School
Your answer
Does your student want to take the Highlands?
Yes
No
Not sure
Clear selection
How would you describe your student's academic performance?
above average
average
below average
improving
declining
other
Are there any learning challenges that might impact the assessment or results?
Your answer
What is the purpose of taking the Highlands?
College Placement
Career Direction
Study Skills
Parenting Insight
Personal Growth
Other
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