College Prep Student Workshops Registration Form

Registration Details

Please complete all required fields.

A. Student Information

Student First Name

Student Last Name

Student Email (Optional)

Student Cell Number (Optional)

B. Parent/Guardian Information

Parent/Guardian 1 Full Name

Parent/Guardian 1 Relationship to the Student

Parent/Guardian 1 Email

This address will receive a confirmation email

Parent/Guardian 1 Cell Phone

Parent/Guardian 2 Full Name

Parent/Guardian 2 Relationship to the Student

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

C. School Information

Current School Name

Current School Grade

Home Zip Code

D. Session Attendance Information

Select all sessions the student plans to attend (multiple selections allowed):

February 15 - Funding College: FAFSA and Scholarships (documents, timelines, scholarship strategy, planning) February 22 - Navigating the Application Core (requirements, transcripts, testing, early college credit options) Essay Writing Review (prompts, storytelling, drafting, revising, and polishing) March 1 - Application Supplemental Materials and Programs (recommendations, portfolios, enrichment, gap year considerations) March 8 - Post-Application: Making the Most of Your Decision (final steps, choosing a school, college success readiness)

E. Optional Student Profile (for personalized support and program impact)

College Planning Status (Select one): Just getting started Have a few colleges in mind Already building applications Already applied / awaiting decisions

Intended Major / Career Interest (Optional):

Top 3 Colleges of Interest (Optional):

Current GPA Range (Optional): Below 2.0 2.0–2.49 2.5–2.99 3.0–3.49 3.5–4.0 Not Sure

Standardized Testing (Optional): Have taken SAT Have taken ACT Planning to take SAT Planning to take ACT Not planning to test / test-optional

Technology Access (Optional): Reliable computer/laptop access Tablet only Phone only Limited/no device access Reliable internet at home Limited/no internet at home

Support Indicators (Optional - choose any that apply): First-generation college-bound (neither parent/guardian completed a 4-year degree) Eligible for free/reduced lunch Student has an IEP/504 plan Student would benefit from tutoring or academic support Student is currently employed (part-time or full-time) Student participates in athletics, arts, clubs, or leadership programs

How did you hear about this program? (Optional): School Church/faith community Social media Friend/Family Community partner Other: __________

F. Permissions and Communication Preferences

Select all that apply:

I agree to receive program updates by email. I agree to receive program updates by text message. I give permission for my student to be photographed/video-recorded for program documentation and outreach. I do NOT give permission for photographs/video.

College Prep Student Workshops Registration Form

Description

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