Today’s Date
05-19-2021
Student’s Name
Kara White
Birthdate
10-31-2004
Parents’ or Guardians’ Names
Shandi and Cliff White
Street Address
5535 Grove Place Crossing
City
Lilburn
State
GA
Zip
30047
Parent/Guardian E-mail
shandi4@gmail.com
Primary Phone #
404-319-6121
Employer(s)
A.C. White Relocations
Work Phone (Mom)
404-319-6121
Parent’s Contact Cell phone
404-309-1918
Work Phone (Dad)
School student is attending now (if applicable)
Parkview High School
Grade Level
10
In what area(s) of academics are you seeking assistance?
in-person SAT and ACT preparation
(If school course) Textbook Title
ISBN#
If E-class and/or online textbooks, note here your USERID
PASSCODE
PARENT’S INITIALS
SEW
(If virtual sessions) SKYPE contact ID & phone #/email
770-480-2791, karaw4030@gmail.com
If the student has any learning differences about which we should be aware, please explain
Have you ever used a tutor or learning center before?
No
If yes, who, when, and in what area of academics?
Please circle days and times when this student can attend sessions:
Mon. Afternoon Evening
How did you hear about Total Learning Concepts or who referred you?
Sharon Sones
Conference dates and times:
PSAT/SAT/ACT Preparation Course that begins on Monday evenings in 6/2021, 8 weeks with pre and post testing
PSAT/SAT/ACT Preparation Course:
$100 deposit only if student is already enrolled for this school year = $100