New Student Form: Contact Information, Basic HS Academic/Activities Record, and Goals In order for us to help you get the results you want, please provide us with as much information as possible! Your Contact DetailsLast Name *First Name *Street Address *City *State *ZIP *Student's Email *Student's Cell Phone *Home Phone *Name of Parent/Guardian 1 *Email of Parent/Guardian 1 *Name of Parent/Guardian 2 Email of Parent/Guardian 2 Academic InformationYour current school *Year of Graduation *202520262027202820292030203120322033Current GPA (approx): *AP & Honors Classes grade 9-12 (taken, taking, & projected) Top 2 or or 4 Extracurricular Activities Based on time commitment and importance to you, including sports, clubs, community service, hobbies, jobs, and other passions. Your Goals With CollegePrepExpressHow did you hear about us? *Another CPE student (Please tell us who, in next box!)Social mediaOther (please specify in next box)Name of person/media who referred you What do you hope to achieve at CPE (e.g., Grades, Scores, Apps)? Do you know about our summertime CommonApp Boot Camps for rising seniors? Previous Test ResultsPSAT (please give Reading and Math scoress):Date of most recent PSAT Click any date in the correct monthPSAT Score SAT (note enter TWO scores for each, one Reading and one Math)Date of SAT #1 Click any date in the correct monthTotal SAT Score #1 SAT #1 Reading & Writing SAT #1 Math Date of SAT #2 Click any date in the correct monthTotal SAT Score #2 SAT #2 Reading & Writing SAT #2 Math Date of SAT #3 Click any date in the correct monthTotal SAT Score #3 SAT #3 Reading & Writing SAT #3 Math ACTDate of ACT #1 Click any date in the correct monthComposite Score ACT #1 ACT #1 English ACT #1 Math ACT #1 Reading ACT #1 Science Date of ACT #2 Click any date in the correct monthComposite Score ACT #2 ACT #2 English ACT #2 Math ACT #2 Reading ACT #2 Science Date of ACT #3 Click any date in the correct monthComposite Score ACT #3 ACT #3 English ACT #3 Math ACT #3 Reading ACT #3 Science AP Classes Taken (with scores where applicable) and Planned VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: