Essay Submission Form

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Country of Origin

Native Language

Date of Birth

This application is for enrollment as:

What is your planned major(s)? *

Please enter the names of the schools you seek admission to.

Personal Statement required

yes
no

Would you require any additional college counseling services. If yes, VoicED representative will contact you to further discuss how we can assist you. *

Yes
No

If yes, please explain.

Do you have any extraordinary circumstances that you think will make a difference mentioning in your essays? *

Yes
No

If yes, please explain.

High School Information

High School Name

High School GPA

Expected Graduation Date

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you a legacy student. If no family member has attended the college(s) you are applying to type N/A

Name

First

Last

Relationship

Name

First

Last

Relationship

Extracurricular, Personal, and Volunteer Activities

Extracurricular Activities

List your organizations, position, description of the activity, and hours per week of involvement.

Talents and Awards

List each, a description, the level, and number of years of involvement.

Volunteer Service/Internships

List the type of work, your role, and hours per week of involvement.

Employment

List the job, your title, description, hours per week, and dates of employment.

Attach your work as Word, PDF or text document. Please attach ALL essays or written work, titled accurately with the prompt and the name of each institution on each individual essay.

Click or drag a file to this area to upload.

Parent Information

The Parent Information section requested below is optional; however, we strongly recommend that you submit it.

Father or Legal Guardian Occupation

Father or Legal Guardian Education

Mother or Legal Guardian Occupation

Mother or Legal Guardian Education

If yes or other, please describe:

For Non-U.S. Customers Only

City and Country of Birth

What is your proficiency in English?

How many essays will you need help with?Personal Statements and Letter Explaining Low Grades are counted as an essay.

If other

Will you need assistance with an interview script?

Have you attended any summer school program related to your major. List the programs.

Are you a VoicED returning customer?

Yes
No

Promo Code:

Agreement

Please review the statement below. All the information collected here is for the purposes of helping our customers showcase their best abilities in their written work. This information will not be used in any other way, except for the aforementioned purposes. VoicED will not contact the student’s current school or any other party to discuss the student’s application process or academic record, nor will we contact any school on behalf of the student for any purpose whatsoever. It shall be the responsibility of the parent and/or student to secure academic and personal recommendations; register and pay for necessary standardized tests; arrange for the transmission of test scores to colleges; complete, finalize, pay for and submit all applications for admission and financial aid; monitor the status of all applications, college visits, interviews and financial aid materials; and notify colleges of the student’s enrollment decisions. VoicED will not be responsible for any of these items. VoicED does not guarantee acceptance into any institution. Al in-person sessions are conducted at our Cupertino or Fremont offices. Skype sessions can be used as needed, at the same rate as in-person sessions, The fee engages the services of one consultant.

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Upon receiving this form we will contact you if additional instructions on your essay submission and editing is required.

Essay Submission Form

High School Information

Extracurricular, Personal, and Volunteer Activities

Parent Information

For Non-U.S. Customers Only

Agreement

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