Pivoting to Apply for Scholarships and College Workshops and Boot Camps

A Message from Dr. Dedra Lori Muhammad

'My Mom Wants This' Scholarship Coaching and Workshops are unique opportunities for students to work closely with a veteran school counselor. Students need extensive small group and individual support to help them navigate through high school and their post-secondary planning. I offer small group and individual coaching, and I also conduct free workshops whenever possible. 


Sign in to Google to save your progress. Learn more
Email *
Student's name (Last, First) *
Grade level:  *
Required
What is the college(s) you wish to attend? (Or the college you are currently attending).
Have you applied to any of these colleges? If so, please provide details on your acceptance status.
What major field of study do you plan to pursue? Do you have a minor field of study?
What is your overall goal -what you hope to gain or learn by working with Rising South Literacy School?
Please list three specific goals. For example, you can say something like, "I need help selecting the best college or applying to college." *
How can I help you today? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rising South Literacy School.

Does this form look suspicious? Report

Google Forms