Private Test Prep Tutoring - Prep with Jen LLC

Student Information

Student Name(Required)

First Last

School

Planned Graduation Year(Required)

Student Email(Required)

Please provide the student’s personal email rather than their school email, as we are unable to send requests to school domains.

Test, Timeline, and Goals

Test(Required)

PSAT/SAT Verbal

PSAT/SAT Math

ACT English

ACT Reading

ACT Math

ACT Science

Other

Check all that apply

Please Specify(Required)

Current PSAT/SAT Verbal Score(Required)

Please enter a number from 200 to 800.

Current PSAT/SAT Math Score(Required)

Please enter a number from 200 to 800.

Current ACT English Score(Required)

Please enter a number from 1 to 36.

Current ACT Reading Score(Required)

Please enter a number from 1 to 36.

Current ACT Math Score(Required)

Please enter a number from 1 to 36.

Current ACT Science Score(Required)

Please enter a number from 1 to 36.

When are you planning to take the test?(Required)

Please list all upcoming test dates (planned or confirmed)

Tutoring Plan and Availability

SAT Tutoring Package Guidance: PSAT/SAT score <1000 → 30-hour Intensive | PSAT/SAT score 1000–1400 → 18-hour Core | PSAT/SAT score >1400 → 8-hour Targeted | Unsure? Select “Need guidance” and we’ll help you select the best package for your situation.

ACT Tutoring Package Guidance: ACT <20 → 30-hour Intensive | ACT 20–31 → 18-hour Core | ACT 32+ → 8-hour Targeted | Unsure? Select "Need guidance" and we’ll help you select the best package for your situation.

Which tutoring package are you interested in?(Required)

When are you available for weekly lessons?(Required)

Please provide as many specific day/time block options as possible to facilitate our tutor matching process.

Would you be open to a small group format if we determine it could align with the student's timeline and goals?

Yes, I’d be open to learning more about small group options

No, we are specifically looking for private tutoring

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Parent Email Address(Required)

Parent Phone(Required)

How did you hear about us?(Required)

Referral

Google

Yelp

Facebook

Website

YouTube

Other

Check all that apply

Whom may we thank for your referral?

Please provide any additional information you would like us to know.

Examples include strengths and weaknesses, academic goals, preferred teaching style, 504 plan considerations, etc.

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