Coaching Request Form

Already read about my policies and sample packages? Great! Can't wait to talk about working together. Please fill out the below form as completely as possible, and I'll be in touch within 48 hours!

Student Name *

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number

Student Email

Who is filling this out today? *Parent/GuardianStudent

Student High School

City + State *

This semester in my household, school is happening...

Tell me a bit about your student!

Tell me a bit about you as a student.

What are the student's college dreams so far?

What are your college dreams so far?

How can I help?Developing dynamic essay ideasStrategizing and time managementPolishing completed draftsSomething elseI'm not sure yet

Please share any further information about your interest in coaching!

What else should I know about your student/family?I am committed to increasing equity in the college application process, and invite you to include anything you think I should know about your unique situation.

What else should I know about you/your family?I am committed to increasing equity in the college application process, and invite you to include anything you think I should know about your unique situation.

What's next? *Yes, I'd like to set up a free 20-minute consultation callI'm ready to book coaching--please send me a quote!I have questions I'd like you to answer via email

What days and times are best for you?

What further information can I share with you?

How did you hear about me?

Checkbox *YesI understand that no part of the essay will be written or edited by the coach, and that coaching is a collaborative process requiring student engagement.

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