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.
Want to register directly for an LSAT BOSS live class (includes free access to the Video-on-Demand course)? CLICK HERE
Want to register directly for the LSAT BOSS Video-on-Demand class? CLICK HERE
Student Information
First name*
Last name*
Email*
Phone*
Address*
Birthday*
Month
Day
Year
Emergency Contact Name (If a minor, Parent/Guardian)*
Emergency Contact Phone*
Relation*
How did you hear about us?
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
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 GPA*
College GPA & School(s) attended*
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 dream school? Target school? Safety school?
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
- Difficultly reading relatively simple instructions
- Difficulty recalling or organizing relevant information
- Intrusive thoughts and sounds
Ginsburg Advanced Services
Tutoring Services & Live Classes
Services & Classes
Please select the following services you are interested in:
I am interested in the following service & class options:
- 1-1 Tutoring with Shana Ginsburg (LSAT, GRE, Law School, MPRE, Bar)
- 1-1 Tutoring with Premier Instructor (LSAT, GRE, Law School, MPRE, Bar)
- LSAT BOSS Live Class (February)
- LSAT BOSS Live Class (March)
- LSAT BOSS Video on-demand
I am interested in working with the following tutors:
- SHANA GINSBURG, ESQ. ($425/hr)
- JOSE JUAREZ ($175/hr)
- THOMAS NOLAN ($175/hr)
- BEATRIZ CANALS ($175/hr)
- MADLINE ALVARENGA ($175/hr)
- MATTEO LAROSA ($175/hr)
- SEBASTIAN MCGRAW ($175/hr)
- SAMMY GAZDA ($175/hr)
- ELLIS CLARK ($175/hr)
Service/Class Time Preference:
The Accommodations Service
We advocate and provide guidance for disability rights and opportunities for students with cognitive, physical, and mental health challenges so you can fully focus on your LSAT exam and beyond. LEARN MORE
I'm interested in learning more about this service ($425)
1:1 Admissions Advising
Prepare stand-out applications to the right law programs for you with expert, individualized consultation and our unique & results-driven application process. We ensure that you present yourself confidently to admissions and are proud of what you deliver. LEARN MORE
I am interested in 1 Hour: Asynchronous Essay Development
I am interested in Law School Admissions Advising (starting at $175/hr)
Terms & Conditions
- Tutoring, admissions and accommodations appointments are all subject to a 24-hr late cancellation fee.
- No refunds will be available on services already rendered.
- 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 these terms and conditions*
Your Signature*
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