Registration Form – College Planning Partnerships

Have you spoken with someone from CPP?*

Yes
No

What is the best way for us to connect?

With whom did you speak

Student Info

Student Name*

First Last

Student Email (username)*

this address will be used as login credential

Student Cell Phone*

Create Password*

Enter Password Confirm Password

Strength indicator

Family Info

Guardian Name*

First Last

Guardian Email*

Guardian Cell Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Program Logistics

For more info: full course list | specialty courses | private tutoring | mentorship

Program / Course of Study*

Select Test*

Academic Course*

Select Specialty Course*

Select SAT Course*

Select AP Course*

Select Your High School*

If not in CT select Other

Enter School Name*

Expected Test Date

Test accomodations?

Please outline test accommodations

Program / Course Location*

Location Details*

Availability

When can you start?*

The earliest day you could begin

Time Zone*

Your time zone*

List your Availability (The more the better!)*

Day(s) of the Week	Times Avaialble

For example, Mondays and Wednesdays | 2:30pm to 6:00pm

List exception days

An exception date refers to a specific date that does not work, even though it falls on a recurring day of the week that you have outlined above. For example, if you listed Thursdays above, but have a conflict on a particular Thursday, you can add the date of that Thursday below.

Extra Info

Is there anything else you would like us to know?

Credit Card

Coupon

Total

$0.00

Books should be picked up at the school's counseling department between January 4th and January 15th. If you are unable to make a trip to school, contact us by phone to arrange accommodations.

Credit Card*

Card Details

Cardholder Name

This course needs at least 10 students to run. Currently, it is under that threshold.