PUMBC YYAWD Ministry ACT Preparation Class for 4/17/2021 Test Date Registration Form
Information requested is needed for registration into the ACT Preparation Class Sessions to start from 06 Mar 2021(Saturday) to 10 Apr 2021(Saturday) at 10 am - 12Noon for Test Date on 4/17/2021. The cutoff/deadline date to register for these ACT Prep Class sessions is 26 Feb 2021. If you have any questions and concerns regarding the ACT Prep classes and any activity hosted by this ministry, please contact Brother Alfred and/or Sister Marcia Mathews via email at: mathewsm2@mathewsdesign.com and at the ministry email address at: yyawd@pumbchurch.org
Email address *
1. Your full name *
2. Your Grade: *
3. Your cell phone number: *
4. Parent(s)/guardian(s) names: *
5. Parent(s)/Guardian(s) email addresses: *
6. Parent(s)/ Guardian(s) Cell Phone Number(s): *
7. How many times have you taken the ACT? *
8. What was your highest score on the ACT?
9. What is your current GPA? *
10. Have you decided on a college to attend?
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11. Which college have you decided to attend? Answer if you answered "Yes" to Question 10. Otherwise, type "N/A"
12. Have you decided on possible majors/academic concentrations?
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13. Which majors/academic concentrations have you decided on? Answer if you selected "Yes" for Question 12. Otherwise, type "N/A"
14. Would you like guidance in deciding on possible majors/academic concentrations?
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15. How will you pay for college?
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16. If you selected "Multiple Sources" or "Other" for Question 15, please specify. Otherwise, type "N/A"
17. If you had the opportunity, would you be interested in and committed to attending a FREE six-week ACT Tutoring class?
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18. If you selected "No" or "Maybe" for Question 17, please explain. Otherwise, type "N/A"
19. Do you have internet access at home?
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20. How do you prefer for us to contact you?
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