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The Marshall University HELP Program

ACT/SAT Prep Registration

Please fill in the following registration form to sign up for the upcoming ACT/SAT Prep course!

To learn more details about this course, please return to our ACT/SAT Prep website which provides information on topics covered, dates available, cost and materials!

ACT/SAT Prep Student Registration

Student Name(Required)

First Last

Grade(Required)

High School Name(Required)

Parent/Guardian Name(s)(Required)

Student Address(Required)

Street Address Address Line 2 City State ZIP Code

Student Phone(Required)

Parent/Guardian Phone(Required)

Student Email(Required)

Parent/Guardian Email(Required)

Do you know which class dates you would like to attend the ACT/SAT Prep course? If so, please list the class dates you are interested in.(Required)

List Prospective Colleges

Area(s) of Concern

Date(s) You plan to take the test:

Have you taken the ACT before?(Required)

Yes

No

If you have taken the ACT before, list the following scores: Composite, English, Reading, Mathematics, and Science

Have you taken the SAT before?(Required)

Yes

No

If you have taken the SAT before, list the following scores: Total Score, Math, Reading + Writing

Emergency Contact Name

First Last

Emergency Contact Phone

I understand there is a $50 non-refundable deposit due at registration, that the course fee is $400, and that this fee is due on the first day of class.(Required)

I understand