ThinkTank Learning
Consulting Services

Total Solution Questionnaire




Student Information
Name
E-mail
Phone
Birthday

Parent Information
Name
Relation
Father    Mother
Primary Phone
Secondary Phone
E-mail
Street Address
  
City
  
State
  
Zip Code

Academic Information
School Name
Graduation Year
SAT-I
CR:   Math:   Writing:
ACT
SAT-I
CR:   Math:   Writing:
ACT
SAT-II
Subject:    Score: 
SAT-II
Subject:    Score: 
SAT-II
Subject:    Score: 
SAT-II
Subject:    Score: 

Course Information
9th Grade Fall Semester Grade 9th Grade Spring Semester Grade
10th Grade Fall Semester Grade 10th Grade Spring Semester Grade
11th Grade Fall Semester Grade 11th Grade Spring Semester Grade

Extracurricular Activites
Activity Desciption Hrs/Week Weeks/Year School Year(s)

College Information
Impossible   Elite   Best Fit   Any
Most important factor in choosing a college 
Desired Field of Study  (can be undecided)

Other Information
What would you like your son/daughter to get out of meeting/program:
Completed By (optional):
Do/Did you have an appointment with our consultants?Yes  No
If Yes, please specify Who: When: