Bootcamp Interest Form — MyAppSuccess

Your First Name *

Your Last Name *

Your Phone Number *

Your Email *

Where are you currently located? *

United States & Territories Outside the US

Student's First Name *

Student's Last Name *

What term is your student looking to start undergraduate classes? *

What best describes your student's current situation? *

What's your biggest motivation for wanting your student to join this bootcamp? (optional)

Is your student willing to put in the work to become a viable candidate for their top choice college? *

Yes — they're ready to start now! Yes, but they need to build more confidence first Not yet — we're still exploring options

Are you open to investing a minimum of $6,000 USD in your student to help them hit their goals? *

Yes No

What is your budget to invest in your student? *

If accepted, when would your student be ready to start? *

How many students in your family are interested in this program? *

We offer joint package discounts for families enrolling more than one student.

Just one student 2 students — I'd love to hear about the joint package discount 3 or more students — please tell me about family pricing

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