New Student Intake Form - OnCampus College Planning

If you’ve just started working with us and you’ve not already completed a New Student Intake Form, please do so now to help us keep in touch on important topics.

Student Name *

First

Last

Student Phone Number *

Student Email *

Confirm Email

enter valid email address here

Student preferred method of communication (Click in the box to activate drop-down choices.)

OnCampus Gives Back $50 Donation Selection *

For every new student that registers for any OnCampus College Planning package (ACT Test Prep, College Search or College App Guidance, we donate $50 to the school, club or community program of your choice! Let us know where we can donate $50 on your behalf!

High School Student Attends *

Student Graduation Year (Click in the box to activate drop-down choices.) *

Parent1 Name *

First

Last

Parent1 Relationship to Student *

Parent1 Phone *

Parent1 Email *

Confirm Email

Parent1 Mailing Address *

Parent2 Name (if applicable)

First

Last

Parent2 Relationship to Student (if applicable)

Parent2 Phone (if applicable)

Parent2 Email (if applicable)

Confirm Email

Parent2 Mailing Address (if applicable or different from Parent1)

I'd like more info about... (check all that apply)

Finding the right college (College Search)
Applying to college (College Application Guidance)
Paying for college
Upcoming college planning events

Comments or Questions

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