JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
G&C Partners LLC.
Client Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Address Line1
*
Your answer
Address Line2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
New Username
*
Your answer
New Password
*
Your answer
Professional Program of Interest
*
Select 1 for Single Degree, Select 2 for Dual Degree
Medical (MD, DO)
Dental (DDS, DMD)
Graduate (MA, MS, MPH, PhD)
Required
Undergraduate College/University
*
Current or Alum
Your answer
Degree
*
BA/BS/Etc
Your answer
Major
*
Biology/English/Etc
Your answer
GPA
*
Overall
Your answer
MCAT, DAT, GRE
*
Exam Score
Your answer
Other College/University
Post-baccalaureate, Continuing Education
Your answer
Degree and/or Major
Your answer
Admissions & Applications History
Check All That Apply
First-time Applicant
Second-time Applicant
Previously Wait-listed Applicant
Previously Rejected Applicant
Application Strengths
Your answer
Application Weaknesses
Your answer
Current Application Concerns
Your answer
Consult Service Options
Select Any
Grades-Exams-Activities-CV-Personal Statement, up to 1 revision: $250
Grades-Exams-Activities-CV-Personal Statement, up to 10 revisions: $500
Admissions Strategy & Application Program Selection: $250
Mock Interview & Personal Dress: $500
Scholarships & Bargaining & Financial Planning: $100
Managing Outcomes (Acceptance/Waitlist/Rejection): $200
Primary Application Review & Evaluation, up to 1 revision: $400
Primary Application Review & Evaluation, up to 5 revisions: $600
Secondary Application Review & Evaluation, up to 1 revision: $500
Secondary Application Review & Evaluation, up to 5 revisions: $700
Consult Feedback Options
Select Any
Email Exchange: $25
Phone Call: $75
Skype Video Call: $100
Personal Meeting: $300
Unlimited Email Exchanges & Phone Calls: $250
Recommended Consultation Packages
Comprehensive Services
Bronze: $1000
Silver: $1500
Gold: $2000
Platinum: $2750
Clear selection
Referral
Did someone refer you to G&C Partners?
Yes
No
Clear selection
Comments Box
Please enter any extra information you would like to provide. Please enter referring person's full name, email, phone number.
Your answer
Terms & Conditions
*
I hereby understand and agree to the terms anc conditions as described on the G&C Partners LLC. registration page. Should I not agree to these terms and conditions, I understand that I may not receive any services from G&C Partners LLC.
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report