Parent Initial Evaluation Application
Hi, PREP Client!  Please complete this survey so that we may begin crafting a customized educational plan for your student and you!

#GetPREP
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Date
MM
/
DD
/
YYYY
Your email address *
What is/are your student(s)' name? (First, then last for all) *
Name (First, then last) *
Address (street, city, state, & zip) *
Phone Number *
What is your preferred way to contact you? *
When are your preferred days to meet or video conference?
Select Two
Monday
Tuesday
Thursday
Friday
Saturday
Sunday
Marital status? *
Are/were you or the other parent in the military? *
If so, has the GI Bill funding been used at all?
Clear selection
Employment Status? *
What type of education has/did/will your student receive after 7th grade? *
How many students (7th gr & up) are in your household? *
What is your relation to your student? *
What gender is your student?
Female
Male
Prefer not to say
Child 1
Child 2
Child 3
Child 4
What grade range(s) is/are your student(s)? *
Required
Does/did your student receive free or reduced lunch? *
Does your child have learning disability that identified in an IEP (Individual Education Plan)?
Clear selection
What is your highest level education? *
Are you familiar with how to apply for college? *
Are you familiar with the college financial aid process? *
Do you know which college your student wants to attend after high school? *
Which type of college/university do you prefer your student to attend right after high school? *
Which specific type of college? *
What size college do you prefer? *
Which college entrance exam has your student taken? *
Do you know how your student plans to help change the world (career)? *
What is your student(s)' talent (besides sports)?
Select One
Music (vocal or instrumental)
Art (visual, including photography)
Theatre
Engineering (puts things together easily)
Dance
Organization
Writing (creative or technical)
Not sure
Does your student play organized sports? *
If so, which sport(s)?
Select all that apply
Basketball
Football
Softball/Baseball
Soccer
Cheerleading/Dance Team
Tennis
Track & Field
Volleyball
Golf
What is your student(s)' GPA? *
Is your student in the Junior National Honor Society or National Honor Society? *
Name any other organization(s) in which your student participated. For example, school clubs, social club proteges, church committees, etc. (This is for scholarship opportunities. Must provide proof.)
Does your student volunteer or do any community service? *
What is your location preference for your student(s) college? *
What is your level of comfort about college planning? *
Not comfortable (fish out of water)
Very comfortable
What are your needs for The PREP Factory?
Select One
I am inexperienced, don't know where to start
I have no time
I want to explore all options
College planning is intimidating
Clear selection
What is your student(s)' and your greatest need?
Clear selection
How did you hear about us? *
What is your level of comfort with using technology? *
Not very comfortable
I am a pro
Have you been able to save money for your student(s)' college education? *
Would you attend our college planning workshops? *
Name a workshop you would be interested in attending. *
How committed are you to the college planning process? *
I have a lot going on
I am very committed
The PREP Factory's process (digital binder) is proprietary.  Will you remain confidential about it? *
Are you ready to #GetPREP?! *
Submit
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