Guidance Counseling Request
New and returning clients, please use the form below to register your student for our Early Guidance & Counseling Program. Once registered, we will send you an invoice for the program and contact you to schedule the first session.
If you have any questions, please contact us at 713-838-7774 (Su-F 10-6) or via email. If you are a new client seeking private tutoring for academic support or standardized test prep, please use
this form
instead. If your student is an 11th or 12th grader seeking college applications support, please use
this form
instead.
Parent Information
First Name
Last Name
Email
Mobile Phone
Address
City
State
Zip
How did you hear about us?
Student Information
First Name
Last Name
Gender
Select
Female
Male
Other
Grade
School (9th grade and onward)
How would you describe this student? (i.e. personality, hobbies, & interests)
When would you like the first session to take place (i.e. summer or fall), and when is your student broadly available to meet?
Background Information
Current GPA / Grade Information
Which honors or accelerated courses has the student taken?
What extracurricular activities is the student involved in?
If the student has any potential career interests in mind, what are they?
Is there anything else you want us to know?
Remove
Add Fields for Additional Student
Submit
