Webinar & Scholarship Fund Enrollment Form

This form helps us gather the information we need to enroll your student in a College Prep Genius (CPG) course. It’s for internal use only and isn’t a sales receipt. Once your purchase is completed through CPG, your EMA/ESA, or other funding marketplace, we’ll match this form to your order and make sure your student is signed up in the right course format—whether virtual, in-person, or self-paced.

First & Last
First & Last
First & Last
First & Last
Address
Please select the class type you purchased
I would like to receive freebies & promotional emails from College Prep Genius.