Application Please enable JavaScript in your browser to complete this form. - Step 1 of 7Student InformationSection 1 Student Full Name *Preferred NameDate of Birth *Current School *Current Grade Level *10th Grade11th Grade12th GradeGap YearCollege / OtherIf College / Other, please specifyStudent Email Address *Student Phone Number *NextRequired Parent / Guardian InformationSection 2 Parent/Guardian Full Name *Relationship to Student *Parent / Guardian Email Address *Parent / Guardian Phone Number *PreviousNextOptional Parent / Guardian InformationSection 3 Second Parent/Guardian Full NameRelationship to StudentSecond Parent / Guardian Email AddressSecond Parent / Guardian PhonePreviousNextChallenges & ContextSection 4 Please share any academic, personal, or situational challenges that may impact the student’s educational journey (e.g., learning differences, health considerations, family circumstances, school transitions). This information is optional and will be used only to better support the student. Challenges & Context *PreviousNextStudent Goal AreasSection 5 Please describe what you are hoping the student will gain from CampusGPS. Goal This Status Student Goals: *PreviousNextCollege Search & Application StatusSection 6 Which best describes where the student currently is in the college search or application process? *Just beginning to think about collegeExploring colleges and majorsBuilding a college listPreparing for applicationsActively applying to collegesApplications submitted, awaiting decisionsOtherOther DetailsPreviousNextApplication AcknowledgementFinal Section Application Acknowledgement *I acknowledge that this submission is an application to work with CampusGPS; this does not guarantee enrollment, and an introductory consultation call is required to determine mutual fit before entry into the program. I confirm that the information provided is accurate to the best of my knowledge.Name of Parent/Guardian Completing This Form *Signature * Clear Signature Relationship to Student *Date *PreviousSubmit
