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- Registration:
Instructions: Please "click" on the desired form(s) below then
"save" to your desktop or desired file on your computer for
completion. Next, e-mail a completed form to: csstutoring@aol.com
or print and mail a copy to:
Carolyn Scanniello, 824 Castle Hollow Rd., Midlothian, VA 23114.
Please note that it takes a few moments for these Word documents to either open or download. Thank you for your patience.
If you prefer, you can "cut and paste" the registration form into a
Word document and follow the above e-mail or mailing instructions.
Student Registration Form
Student Name:
Parents' Names:
Contact Information:
Home #:
Work #:
Cell#:
Email address:
Home address:
Current School & Graduation Year:
College Choices:
Previous Test Preparation:
Cumulative G.P.A.:
Previous PSAT/SAT/ACT scores:
PSAT- date- CR*= Math= Writing= Total=
PSAT- date- CR*= Math= Writing= Total=
SAT- date- CR*= Math= Writing= Total=
SAT- date- CR*= Math= Writing= Total=
SAT- date- CR*= Math= Writing= Total=
ACT- date- Composite Score=
*CR= Critical Reading
Class choices: For Office Use Only
Please register by class number & letter
Choice #1- N/R Deposit Paid:
Choice #2- Balance Paid:
Choice #3-
Please make checks payable to: CSS Tutoring Services or use credit
card (VISA or MasterCard) form above.
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