Test Prep Classes

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-- Please Choose --9:00 AM9:20 AM9:40 AM10:00 AM10:20 AM10:40 AM11:00 AM11:20 AM11:40 AM12:00 PM12:20 PM12:40 PM1:00 PM1:20 PM1:40 PM2:00 PM2:20 PM2:40 PM3:00 PM3:20 PM3:40 PM4:00 PM4:20 PM4:40 PM5:00 PM

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Your Name:

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Student's Name:

Student's Age:

Student's Grade:

Student's School:

Will the student attend virtually or in person at our center?
-- Please Choose --VirtuallyIn personEither/both

Has the student attended BLAST previously?
-- Please Choose --YesNoUnsure

Which subject(s) does the student need help with?

When do you want the student to start BLAST?

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Your Name:

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Student's Name:

Student's Age:

Student's Grade:

Student's School:

Which class is the student enrolling in?
-- Please Choose --Feb 12 ACT: Sundays starting 1/16Feb 12 ACT: Tuesdays starting 1/18Let's Talk Tests: Week of 1/24Mar 12 SAT: Sundays starting 2/13Mar 12 SAT: Tuesdays starting 2/15Let's Talk Tests: Week of 2/14April 2 ACT: Sundays starting 3/6April 2 ACT: Tuesdays starting 3/8May 7 SAT: Sundays starting 4/3May 7 SAT: Tuesdays starting 4/12June 4 SAT: Sundays starting 5/8June 4 SAT: Tuesdays starting 5/10June 11 ACT: Sundays starting 5/15June 11 ACT: Tuesdays starting 5/17

Has the student taken the test previously?
-- Please Choose --YesNoNot Applicable

Has the student done any other type of test prep?
-- Please Choose --YesNoNot Applicable

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Your Name:

Your Email:

Your Phone:

Street Address:

City, State, Zip Code:

Student's Name:

Student's Age:

Student's Grade:

Student's School:

Are you interested in virtual or in-person tutoring?
-- Please Choose --VirtualIn personEither/both

Does the student have an IEP/504 or other special accommodations?
-- Please Choose --YesNoUnsure

Is the request for Test Prep / Subjects / Other?
-- Please Choose --Test PrepSubjectsOther

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