Contact Us

Ready to unlock your path to academic excellence and navigate the journey to higher education with confidence? Booking a consultation with LEIP is the first step towards a personalized and empowering educational experience. Complete the following brief questionnaire and then you will receive access to our calendar to book a virtual meeting.

Work with Leasha

Student Questionnaire

Parent/Guardian Information

First name

Last name

Address

Cell Phone

Student Information

Student's Full Name

Date of Birth

Month

Day

Year

Gender

Male

Female

Name of School Currently Attending

Grade Level

Cell Phone

Are you interested in any specific colleges?

Do you know what you want to study? Major? Minor?

Why do you want to attend college?

Do you plan to apply for financial aid?

Any specific questions or topics that you would like us to cover during your initial meeting?

In what ways can we support you during this process?

How did you hear about us?

Referral

Facebook

Other

Thank you for taking the time to complete this questionnaire. Your responses will help us tailor our services to meet the specific needs of your child and ensure a personalized and effective educational experience.