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Name*

First Last

Email*

Phone*

City/State*

City State

Child's Name*

First Last

What School Does Your Child Currently Attend?*

Child's Grade Level*

Current GPA (If Available)

In your own words, what's the BIGGEST challenge or concern you have about your child's college/career path right now?*

Does your child have a clear idea of what they want to study or pursue as a career?*

Yes, they're pretty clear on their direction

Sort of, but they're not confident about it

No, they have no idea

They keep changing their mind

What activities, interests, or subjects does your child seem most engaged with? (Even if they don't seem "career-related")*

What's your biggest fear about your child's future after high school?*

Have you started exploring colleges yet? If so, what's that process been like?*

If we could help your child walk into college with a clear career path, multiple backup options, and a plan for turning their degree into actual job offers, how would that change things for your family?*

On a scale of 1-10, how ready are you to invest time, energy, and resources into giving your child a clear path forward?*

1-3 (Just exploring options)

4-6 (Interested, but need more info)

7-8 (Ready to move forward soon)

9-10 (Ready to start NOW)

Is there anything else you'd like us to know about your child or your family's situation?*

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I have read and agree to the Terms and Conditions.*

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