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Intake form
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Name
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Email address
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What is your current grade level?
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9th grade
10th grade
11th grade
12th grade
What are your preferred college majors?
Please select at least one option.
Engineering
Business
Biology
Psychology
Education
Arts
Computer Science
Nursing
What are your preferred college sizes?
Please select at least one option.
Small (less than 2,000 students)
Medium (2,000-10,000 students)
Large (more than 10,000 students)
What are your preferred college locations?
Please select at least one option.
In-state
Out-of-state
Urban
Suburban
Rural
What are your GPA and standardized test scores?
What extracurricular activities are you involved in?
What is your budget for college tuition?
Select
Less than $10,000
$10,000 - $20,000
$20,000 - $30,000
More than $30,000
What factors are most important to you in selecting a college?
Please select at least one option.
Academic reputation
Campus culture
Financial aid
Location
Diversity
Athletics
Clubs and organizations
Do you have any specific colleges in mind?
Additional questions or comments
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