Winter 2025 SAT Prep Student Registration
SAT PREP & COLLEGE APPLICATION COACHING
Saturdays, January 25 - March 22, 2025
10:00 AM - 1:00 PM
Online

Cost:  $100.00 per student*
* Students from low- & moderate-income families may qualify for a reduced registration fee.

After completing this form, you will be prompted to pay the registration fee using PayPal.  Please include the student's name in your payment.

Contact us by email at plainfieldgrassroots@gmail.com.
For more information, visit us online at PlainfieldGrassroots.org.
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Student's First Name *
Student's Last Name *
Street Address *
City *
State *
Zip Code *
Student's Email *
Confirm Student's Email *
Phone *
Age *
School *
Grade: *
Race/Ethnicity
Demographic information requested by our funders.
How did you hear about the program? *
Have you taken the SAT before? *
If you took the test, what were your Language & Math scores?
What is your target score?
What Math class are your taking now or did you take last? *
Parent's Name *
Parent's Email *
Confirm Parent's Email *
Parent's Phone *
Students from low- and moderate-income families qualify for a reduced registration fee. This list shows the income limits for low- & moderate-income families of different sizes. Select the line that applies to your family's size and annual income. You must provide proof of income to get the reduced fee. *
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