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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 educational level?
Select
High School Senior
High School Junior
High School Sophomore
High School Freshman
Transfer Student
Graduate Student
What type of college are you interested in?
Please select at least one option.
Public University
Private University
Community College
Online College
Technical School
Liberal Arts College
What is your intended major or area of study?
What is your preferred college location?
Please select at least one option.
In-state
Out-of-state
International
What is your estimated family income?
Select
Less than $30,000
$30,000 - $60,000
$60,000 - $90,000
$90,000 - $120,000
More than $120,000
What financial aid options are you considering?
Please select at least one option.
Federal Student Aid
State Grants
Scholarships
Private Loans
Work-Study Programs
What challenges have you faced during the college application process?
Additional questions or comments
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