HELP Website College & Career Readiness Assessment Sign-Up Sheet
Student's Last Name *
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Student's First Name *
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Student's Date of Birth (e.g. 01/07/2008) *
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Confirm Student's Date of Birth (e.g. 01/07/2008) *
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Student's HS Graduation Year, use grade the student was in during school year 2016-'17(e.g. 12th-2018; 11th-2019; 10th-2020; 9th-2021; 8th-2022; 7th-2023; 6th-2024) *
Student's Gender *
Street Address 1 *
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Street Address 2 (Apt #)
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City *
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State (e.g. Virginia-VA; Texas-TX; Georgia-GA) *
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Zip Code *
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Student's Email *
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Confirm Student's Email *
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Parent's Phone (e.g. 301-756-8233) *
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Confirm Parent's Phone (e.g. 301-756-8233) *
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Parent's Email *
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Confirm Parent's Email *
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Student's Current Estimated GPA or Grade % *
What's the full name of the school you attend? *
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How did you hear about the HELP Assessment Program?
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