Summer Classes Information Form - Academic Coaching Associates

Parent First and Last Name *

Student First and Last Name *

Parent Email *

Parent Phone Number

Please list which summer session(s) your student will be attending and how many weeks are in each session. *

Ex. Session 1: 6 weeks, 2 classes; Session 2: 3 weeks, 1 class

What year will your student be going into in the Fall? *

Name of college *

Would you like more information about academic coaching for the Fall semester? *