Request for

Discounted/Pro Bono Services

Student Name

First Name

Last Name

High School Name

Parent, Guardian, and/or Caretaker Name

First Name

Last Name

Parent, Caretaker, Guardian Email

Are you a resident of Prince William County Virginia

This will not impact whether you will be approved for services- we are collecting this information for future grant/sponsorships

Request Type

Long Essay or Common App or Coalition Essay Review (Standard Price $125)

Full Application Review (Standard Price $250)

Supplemental Essay Review (Standard Price $125 per school)

Admissions Consultation (Standard Price $250)

Attend Work Session (Standard Price $125)

Type of services you are requesting

We strive to offer as many pro bono services as possible, within our current capacity

Discounted

Pro Bono

Colleges you are applying (please include deadline)

Discounted Price Requested

If you are requesting discounted services rather than pro bono services please let us know the amount you have the capacity to pay per session/per essay/per application review/per work session/per consultation. You can also do an overall contribution. We will bill the amount once we approve the request If you do not have the capacity to provide any financial support at this time please type "pro bono request"

Donation (If you plan on donating you will be given the opportunity after submission)

Our discounted and pro-bono services are made possible by contributions from our communities and donors. Any contribution you're able to provide would be deeply appreciated in supporting this endeavor. If you are not in a position to contribute please feel free to put $0