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Power Courses Registration Form
Student Name
*
Parents Names
*
Student's Cell Phone Number
*
Parents' Phone Numbers
*
Fax Number/Other Contact Numbers
Address
*
City
*
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Parents' Email Address
*
Student's Email Address
*
Student's Birthdate
*
Student's Graduation Year
*
Highschool Name
*
Current GPA
*
PSAT Scores: Reading/Writing and Math
SAT Scores: Reading/Writing and Math
ACT Scores: English, Math, Reading, Science or Composite
Extra Curricular Activites
*
Which colleges are you interested in?
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Power Course Preference
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2024 Late May / Early June Power ACT Afternoon Course: May 18 - June 10 (Weekday afternoon classes (1:00 pm to 4:00 pm), Saturday morning practice tests)
2024 Late May / Early June Power PSAT/SAT Morning Course: May 24 - June 14 (Weekday morning classes (9:00 am to 12:00 pm), Saturday morning practice tests)
2024 Late June Power ACT Morning Course: June 13 - July 2 (Weekday morning classes (9:00 am to 12:00 pm), selected morning practice tests)
2024 Late June Power PSAT/SAT Morning Course: June 13 - July 2 (Weekday morning classes (9:00 am to 12:00 pm), selected morning practice tests)
2024 Late June Power ACT Afternoon Course: June 13 - July 2 (Weekday afternoon classes (1:00 pm to 4:00 pm), selected morning practice tests)
2024 Late June Power PSAT/SAT Afternoon Course: June 13 - July 2 (Weekday afternoon classes (1:00 pm to 4:00 pm), selected morning practice tests)
2024 Late July / Early August Power ACT Morning Course: July 20 - August 10 (Weekday morning classes (9:00 am to 12:00 pm), Saturday morning practice tests)
2024 Late July / Early August Power PSAT/SAT Morning Course: July 20 - August 10 (Weekday morning classes (9:00 am to 12:00 pm), Saturday morning practice tests)
How did you hear about us?
*
A family member or friend. If so, who?
Your guidance/college counselor. If so, who?
Your school.
Another standardized prep course.
You know Alex or a Power Course team member.
Online.
Please specify names here.
Please specify names here.
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