New Client Form
Please fill out the following information before your free 30 minute chat with Jackie.
Your name*
Name of person Jackie will be working with?*
Grade? (9th and 10th no longer available for 2021)*
What time zone are you located in?*
What plan are you interested in?*
Unlimited Plan /
Hourly
Unsure
Both Unlimited and Hourly
Where did you learn about us?*
Personal Referral
Google
Social Media
NACAC Listing
Guest Speech
Point Of View website
Full name of person who referred you?
Would you like to meet by phone or video chat?*