Student Application

College Admissions Coaching Application

If you would like to learn more about how Dr. Alexander can help you achieve your college admissions goals, either send an email with your questions or complete the Application Form and email it to us. In either case, Dr. Alexander will respond and make sure you are a student that will benefit from her expertise.

Instructions:

College Admissions Application
Be sure to use Adobe Acrobat and NOT “Preview” for MAC computers or other pdf readers on other browsers.
Save a copy of the completed form on your computer.
Attach the completed form to an email below and send it to us.

Online Application

First Name*:

Last Name*:

High School*:

Street Address*:

City*:

State*:

Zip*:

Personal Phone (Cell):

Home Phone*:

Email Address*:

Parent's Names*:

A Parent's Phone*:

Either Parent's Email*:

Unweighted GPA*:

Weighted GPA*:

Graduation Year*:

Highest Math Course Taken or Currently Taking*:

IB Program*:

Number Of AP Courses Completed Or In Progress*

Test Scores

PSAT (Most Recent)

Date:

Reading

Math:

Highest SAT Scores

Reading

Math:

Essay:

Plan

English*:

Reading*:

Math*:

Science*:

Total Score*:

Highest ACT Score

English*:

Reading*:

Math*:

Science*:

Total Score*:

Are you on “Free or Reduced Lunch” Program?*

What Is Your Dream College*:

List Any Other Colleges/Universities You Are Considering:

Do Any Of Your Parents Or Grandparents Have A 4-year Degree? If So, Who Is It And Where Did They Graduate?

If Yes, Specify

Provide A Brief List Of Your Extra-curricular Activities And Any Leadership Positions You Have Taken.