Online Registration High School Placement/Entrance Exam Math Preparation - Section B

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Parent Info.

Parent's First Name*

Parent's Last Name*


Student Info.

Student's First Name*

Student's Last Name*


School Info.

Student's School*

Student's Grade Level*
(If registering for a Summer course, please indicate grade level as of the upcoming school year.)


Contact Info.

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City*

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Email Address*


Registering with a Friend? [optional]

Registering for this class with a friend entitles you to a $25.00 discount!

Friend's First Name

Friend's Last Name


Student's Math Grades (letters or numbers only)

For example: A, B, 90%, 80%, etc.

6th   7th   8th   9th   10th   11th   12th


Student's Test Scores [optional] (numbers only)

PSAT #1: Math   Reading   Writing   Date (mm-yyyy)

 

PSAT #2: Math   Reading   Writing   Date (mm-yyyy)

 

SAT I #1: Math   Reading   Writing   Date (mm-yyyy)

 

SAT I #2: Math   Reading   Writing   Date (mm-yyyy)

 

SAT II #1: Math IC   Math IIC   Date (mm-yyyy)

 

SAT II #2: Math IC   Math IIC   Date (mm-yyyy)

 

PLAN:

Math   English   Reading   Science   Composite

Date (mm-yyyy)

 

ACT #1:

Math   English   Reading   Science   Composite

Date (mm-yyyy)

 

ACT #2:

Math   English   Reading   Science   Composite

Date (mm-yyyy)


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