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Student Application
For students/parents interested in educational consulting services, please fill out the form below.
I am a
*
student
parent
other
If (other)
Student's Name
*
Parents' Name
Student's Current School
Student's year of high school graduation
How did you find out about Leslie Smith & Associates?
Referred to Leslie Smith & Associates by
Internet (specify where on line)
I met a representative of Leslie Smith & Associates at an event. Specify event.
Other
Student's
Address
Email
Telephone (Include country code)
Skype ID
Parent's
Email
Telephone (Include country code)
Skype ID
High School year of Graduation (For Student)
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
I am seeing guidance on the prep school admissions process in the USA
*
Yes
No
I am seeking guidance on the University Admissions process in the USA
*
Yes
No
I am interested in receiving more information from Leslie Smith & Associates
*
Yes
No
ADDITIONAL QUESTIONS
(Optional, but filling out the questions put you in contention for a spot in the Leslie Smith & Associates program.)
Grade Point Average (if known)
Report unweighted number of AP or honors classes classes taking this year
Student's SSAT Score (if known)
Date SSAT taken
Student's SAT or PSAT (if known)
Critical Reading
Writing
Math
Total
Date SAT or PSAT Taken
IBT (Internet Based TOFEL)
Score
Date Taken
Special Interests. Check all that apply.
music
sports
leadership
drama
the arts
Additional Information to be considered. Consider writing a paragraph to introduce yourself.
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