BelieversEd One-on-One Student Success Coaching Enrollment Form

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Thank you for your interest in Believers Education Collaborative's One-on-One Student Success Coaching service. Please plan to complete this form in one sitting (it takes about 5-10 minutes to complete) and cannot be partially saved.

NOTE: One-on-One Student Success Coaching is based on our availability. We will contact you after you complete this form to review your responses and to discuss payment and scheduling. Thank you again for your interest. We look forward to serving you soon!

Email *

First Name:

Last Name:

Phone Number *

First Name of Youth: *

Last Name of Youth: *

Youth's Gender: *

What is your youth's current grade-level? *

Which coaching service are you looking to purchase? *

How many sessions are you looking to purchase? *

How did you hear about Believers Education Collaborative, LLC? *

Which of the areas does your youth need the most support? Select up to eight topics. *

Organization skills

Learning approach/mindset

Study skills

Goal-setting

Motivation

Time management

Setting priorities

Relationship-building with teachers/staff

College aspirations

Managing the college application process

College essays

Financial aid, including scholarships and grants

College visits

Interview prep

Resume reviews

Managing stress

Fine-tuning career goals

Establishing their brand

Building their career tribe

Acing the interview

Summer opportunities (i.e., internships and jobs)

Required

What additional information, if any, would you like us to know about your child prior to our session? *

I understand that completing this form does not guarantee my spot in a session and that I must pay prior to being officially registered for my sessions. *

I agree.

I do not agree.

Please indicate today's date below. *

YYYY

A copy of your responses will be emailed to the address you provided.

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