Princeton Review SAT/ACT Application Please complete this form to apply for a discounted test prep program through AHEC's partnership with The Princeton Review®. AHEC offers reduced pricing on SAT/ACT, NCLEX-RN®, and graduate exam prep (MCAT®, DAT®, GRE®) — see program options and pricing below. If you feel you might qualify for a scholarship based on "disadvantaged" status, please contact Camryn Braun at cbraun@nwpaahec.org. Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What county do you live in?*Select from dropdownButlerCameronClarionClearfieldElkErieForestJeffersonLawrenceMcKeanMercerPotterVenangoWarrenGender* Female Male Prefer not to say Race* American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White or Caucasian More than one race Prefer not to say Which program are you applying for?* Self-Paced ACT® or Digital SAT® — $65 (value $299) NCLEX-RN® 90-Day Q Bank — $99 (value $179) MCAT Self-Paced Course — $949 (value $1,999) MCAT Pathways Active Learning Course — $1,349 (value $2,699) — requires a cohort of at least 10 students MCAT 123-Hour Course Voucher — $1,740 (value $2,899) DAT 430+ Course Voucher — $999 (value $1,999) GRE Self-Paced Course — $250 (value $499) If applicable, what school or program are you currently enrolled in?*Year/Level in Program*Select from dropdownFreshmanSophomoreJuniorSeniorPost-Grad/OtherHow did you hear about the program?Select from dropdownFriendEmailWebsiteInternet Search EngineTeacher/AdvisorFlyerOtherWhat career are you interested in pursuing and why?*Payment for Princeton Review* Check Online Contact Us Other Comments
