General Academic - College Counseling Request

College Counseling Request

New and returning clients, please use the form below or call us at 713-838-7774 (Su-F 10-6) for availability of college counseling and applications support. If you are a new client seeking private tutoring for academic support or standardized test prep, please use this form instead.

Parent Information

First Name

Last Name

Mobile Phone

Address

City

State

Zip

How did you hear about us?

Student information

Student Information

First Name

Last Name

Gender

Grade

School

How would you describe this student? (i.e. personality, hobbies, & interests)

When is the student broadly available for tutoring? (i.e. "Weekdays after 4, anytime on Weekends")

Where do you want the tutoring to occur?

Do you have a specific tutor in mind?

College Background Information

Current GPA

Class Rank

Highest Previously Taken ACT/SAT Score

Which AP, IB, Honors, or accelerated courses has the student taken?

Which college(s) is the student most interested in attending?

What are the student's current career interests?

What extracurricular activities is the student involved in?

What does the student need help with? (Select all that apply)

Is there anything else you want us to know?

Add Fields for Additional Student