Intake Form - MCK College Coaching

MCK College Coaching Intake Form

Company

This field is for validation purposes and should be left unchanged.

First Name(Required)

Last Name(Required)

Email(Required)

ZIP code(Required)

Phone(Required)

Country Phone Number

Gender(Required)

Current year in high school(Required)

Ethnicity(Required)

American Indian

Asian

African American

Hispanic

White (non-Hispanic)

Other

Academic Background

High School Name(Required)

Type of High School(Required)

Additional Academic Information

Please indicate any academic details you feel it is important for us to know.

Unweighted GPA(Required)

Weighted GPA(Required)

Class rank(Required)

If your school does not provide class rank, please estimate.

Colleges, Majors and Financial Aid

Please share your current college interests and academic goals.

Colleges or universities to which you plan to apply:(Required)

Intended major(s) or area(s) of study:(Required)

Will you require financial aid?(Required)

Will you be applying for scholarships?(Required)

Will you be applying for honors or leadership programs?(Required)

Standardized Test Scores

Please provide your highest scores for any standardized tests you have taken.

Have you taken the PSAT?(Required)

SAT Math Score

SAT Verbal (Evidence-based reading and writing)

Have you taken the ACT?(Required)

ACT Composite Score

AP Test Scores

Please list course, score, and test year.

Activities, Leadership and Honors

Please include all past and present activities. You may summarize where appropriate.

Extracurricular and Volunteer Activities

Please list all past and present extracurricular and volunteer activities.

Leadership Roles

Include any leadership experiences (academic, extracurricular, or community).

Main Summer Activities/Camps/Programs During High School

Please include dates for each activity.

Significant Honors or Awards

Please list the honor/award name, date received, and a brief description.

Additional Information

Use this space to share anything else you believe it is important for us to know.

Additional Comments

Extenuating Circumstances or Concerns

Please share any circumstances that would be helpful for your consultant to know.