Student Registration Form | Ginsburg Advanced

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Student Registration Form

Please take the time to read and complete the following form. This form contains questions about your education and testing history to ensure that we can address all of your testing challenges and prepare a study plan that best meets your learning needs. Note that we provide 10% off all services for military and fee waiver students.

This form is for students who wish to receive tutoring services for LSAT, Law School, Admissions and Accommodations. If you wish to register directly for a LSAT BOSS: Live Class or the LSAT BOSS: On-Demand course, please click here.

First name

Middle name

Last name

Suffix

Pronouns

Email

Primary Phone

Address

Date of Birth

Emergency Contact Name (If a minor, Parent/Guardian)

Phone

Relation

Phone

Address

Student Education & Testing History

Most of our students have tried traditional test preparation programs without success, or have self-studied before working with us. Tell us a little about your journey to date, and we'll recommend a results-oriented study plan designed for your learning style and test goals.

New or Returning Student? *

Returning Student

New Student

I am interested in the following Ginsburg Advanced Tutoring services:

Tutoring

Accommodations Assistance

Admissions Assistance

Asynchronous Essay Editing

LSAT BOSS Video On-Demand

LSAT BOSS Live Classes

Tutoring Subject

I am interested in working with the following tutors:

SHANA GINSBURG, ESQ.

JOSE JUAREZ

TRUDEL PARE

THOMAS NOLAN

NARAYA PRICE

MADELINE ALVARENGA

MARIA VELASQUEZ

MATTEO LAROSA

No Preference

Tutoring Time Preference

What have you already done to prepare for your exam?

Have you been diagnosed with a learning disability, psychiatric disorder, or visual or physical impairment that impacts your academic performance? If so, please provide the diagnosis, symptoms, and date you were first diagnosed.

High School & High School GPA

College GPA & School(s) atteded

Did you receive accommodations for testing while in high school or college? If Yes, please describe. If you are seeking accommodations assistance, please email accommodations records to us at hello@ginsburgadvancedtutoring.com.

What were your scores and test experiences on prior standardized tests?

What is your highest practice score or official score to date? (If applicable)

What is your goal score for your exam?

What is your dream school? Target school? Safety school?

How did you hear about us?

Test Anxiety Diagnostic

Some anxiety is normal- it protects your body from physical threat. But when you experience too much anxiety, it can lead to emotional or physical distress on test day, and students with the highest test anxiety can perform 12% lower than their low-anxiety peers. Look at the list below and select any of the symptoms of test anxiety you experience when taking or preparing to take a standardized test:

Check all that apply during standardized tests:

Worry or dread

Fear of failure

Stress or panic

Increased heart rate

Restlessness

Excessive sweating

Dry mouth

Shortness of breath / hyperventilation

Headache or migraines

Stomach ache or nausea

Lightheadedness

Vomiting

Difficulty concentrating

"Freezing" or "Going Blank"

Disrupted attention / easily distracted

Difficulty reading relatively simple instructions

Difficulty recalling or organizing relevant information

Intrusive thoughts and sounds

Terms & Conditions

Tutoring, admissions and accommodations appointments are all subject to a 24-hr late cancellation fee.
1 hour tutoring purchase includes 1 free month access to the LSAT Boss video on demand Masterclass and our homework library - for a total value of $395!
Payment Plans are available
Tutoring/Admissions rates are valid for 1 year. After 1 year, rates are subject to change.
Fee waiver and military students receive 10% off all class and services.

I agree to the terms and conditions of this Agreement.

Your Signature

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Locations

Virtual education & disability services available worldwide.

DMV (MD): 2120 Clark Place, Silver Spring, Md 20910

LA: 811 Wilshire Blvd, 17th Floor, Downtown LA

NYC: 295 Madison Ave, 12th Floor

© 2022 Ginsburg Advanced Tutoring, LLC

Email, call or text us. We're here to help!

hello@ginsburgadvancedtutoring.com

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