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1. First parent’s/guardian’s*
Email *
Nationality *
Ethnicity: please indicate how you identify yourself.
Occupation
Please list first parent's/guardian's level of education and, if applicable, alma mater (undergraduate and/or graduate) with years of graduation and degrees received.
2. Second parent’s/guardian’s name
Email *
Nationality *
Ethnicity: please indicate how you identify yourself.
Occupation
Please list first parent's/guardian's level of education and, if applicable, alma mater (undergraduate and/or graduate) with years of graduation and degrees received.
Number of children in the family.
If you have more than one child, have any of your children already started college? If so, please list college name, year of entrance, and, if applicable, year of graduation and degree.
Address *
United States
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Keeling Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Reunion
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Student Information *
Date of Birth *
Gender
Preferred gender pronoun
Nationality *
Ethnicity.
Religious preference
Current school year. *
Below 7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
College Transfer Student
Graduation Year. *
Language(s) student is proficient in.
U.S. Armed Forces status
None
Currently Serving
Previously Served
Current Dependent
What size is the student’s class?
Student's weighted and/or unweighted GPA
If available, please upload unofficial transcripts.
Please upload any additional transcripts.
Student’s class rank (if rank is unknown, please provide a percentile if possible)
SAT and/or ACT scores
SAT Subject Test scores (please specify subjects)
PSAT/NSMQT scores
If possible, please upload all standardized test scores.
If available, please upload the student's resume.
Please describe the school activities in which the student has been involved since middle school: responsibilities, time commitment involved and grade levels, and any special recognition.
Please describe all outside-of-school activities: work experience, travel, community service, religious groups, hobbies, etc. Please provide us with time commitment involved and the depth of involvement in these activities. (Exclude athletics—this is in a separate section below.)
Please list all athletic activities since middle school: years of involvement, honors received, outside clubs, travel teams, etc.
Other test results, including IQ and Achievement Tests, NAEP results, State Achievement Tests, etc.
Has the student ever worked with academic tutors and/or test prep specialists? If so, what companies? (For independent tutors/test prep specialist, simply specify “independent.”)
Does the student participate in any honors programs at school? Please specify programs.
Has the student received any academic scholarships? If so, please list.
Has the student received any academic awards? If so, please list.
Has the student ever skipped a grade or repeated a grade? If so, which grade(s) skipped/repeated and why?
Which schools has the student attended since first grade? Please list any schools, their location, and dates of attendance.
Has the student ever been suspended, expelled, or been otherwise subject to disciplinary action at school? If so, please provide information.
Has the student ever been diagnosed with a learning disability or difference, and/or does the student receive special academic accommodations? Please specify any diagnoses or accommodations.
If you responded “yes” to the previous question, does the student receive special accommodations for the SAT and/or ACT, or has the student requested such accommodations (supplemental time, etc.)? If so, what accommodations?
Do you suspect your student may have an undiagnosed learning disability or difference? If so, please explain.
Does your student work with a mental health professional, or suffer from any mental health issues such as anxiety or depression?
Has your student been the victim of bullying or encountered other problems at school?
Is there any other information we should know about that could impact the student’s chances of admission to college—either positively or negatively?
How can we best assist you?
How did you hear about us?
News media
Referral
Current of former HC Clients
Google search
Facebook
Instagram
Other
If you responded "Other" to the previous questions. Please specify.
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