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.

First name

Middle name

Last name

Suffix

Pronouns

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

Small Group Masterclass

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:

Pricing, Terms & Conditions

Private tutoring and admissions consulting with Shana Ginsburg, Esq. is billed at $350/hr (15% off for packages of 15 or 25 hours)
Premier tutoring and admissions consulting with a Ginsburg instructor is billed at $175/hr (15% off for packages of 15 or 25 hours)
The Comprehensive Accommodations Service is $389; Students not yet eligible for accommodations must first purchase an Eligibility Consultation for $95
Tutoring, admissions and accommodations services are all subject to a 24-hr late cancellation fee.
LSAT BOSS Small Group Masterclasses begin the week of 8/14/23 and run every M/Th @ 1pm ET; M/Th @ 4:30pm ET; and Sat/Sun @ 12pm ET. Masterclasses are $1299 and include access to the LSAT Boss video on demand Masterclass and digital textbooks (regular price: $249/month). Monthly class passes can be purchased for $489/month. All class sections run 12 weeks.

I agree to the terms and conditions of this Agreement.

Your Signature

Today's Date

Thank you for taking the time to submit your information! We will contact you shortly to complete your enrollment.