Fundamentals ACT Prep Class Registration Form

Focus On Learning
3610 Buttonwood Drive #200
Columbia, MO 65201
(573) 886-8969 (Office)
(573) 239-4074 (Cell)

* Required

Fundamentals ACT Prep Class

Price:

Student Info

Name*

First Last

Phone*

Email*

School*

Year of Graduation*

Current GPA*

Has your student already taken the ACT?*

Yes
No

How many times has your student taken the ACT?

Please name the last date your student took the ACT

Even if you're not sure of the exact date, please enter a date that is close.

ACT goal score*

Highest ACT composite score

Did this student take the writing test? If so, what was the subscore?

ACT Prep Class you would like to register for*

Starts October 3rd, 2022
Starts December 11th, 2022

ACT Test date*

October 22nd, 2022
December 10th, 2022

Would you like to come to the Proctored ACT Practice Test?*

The proctored ACT practice test will be from 8 a.m.-12:30 p.m.

October 15th, 2022
December 3rd, 2022
No

Do you want an additional 6 hours of one-on-one tutoring?*

The additional 6 hours is an additional $450. Our normal individual tutoring sessions are $95 per hour. Let us know if this option is something you would like.

Yes
No

Would you like to purchase the additional ACT Workbook Courses*

Purchasing the ACT Workbook Courses allow students go over what they've learned out of the workbooks provided in class. This allows students to review content on an as needed basis and to strengthen the learning from the class.

ACT Prep Math/Science Workbook Course
ACT Prep English/Reading Workbook Course
No

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