Princeton Review SAT/ACT Application Please complete this form to be considered for an offer to partner with AHEC to receive a one-year program for SAT or ACT prep course from the Princeton Review. The discounted cost is $60 compared to the typical cost of $299. Please connect Jane Mullinax at jmullinax@nwpaahec.org if you feel you might qualify for a scholarship for disadvantaged students.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 High School Name* Year in High School for 2020-2021*Select from dropdownFreshmanSophomoreJuniorSeniorHow did you hear about the program?Select from dropdownFriendEmailWebsiteInternet Search EngineTeacherFlyerOtherWhat career are you interested in pursuing and why?*Payment for Princeton Review* Check Online Contact Us Other Comments
