APPLICATION FOR YOUR REVIEW

Your college representative will work with you to make sure your application has been completed after you submit the electronic application.

1. PROPOSED APPLICANT (Print Full Name) Male Female

Driver’s License# St:

Birthplace:

Birth Date: / /

Age:

(City and State) (Month/ Day/ Year)

Residence Address: No P.O. Boxes

(No.) (Street) (City) (State) (Zip Code)

Occupation and Duties:

Employer’s Name & Address:

When applying for FAFSA Assets in both Student and Parents name effects your FREE money status so please answer questions as accurately as possible and then we will address this as part of your PLAN (Portfolio)

Approximate Annual Income: $ Years Employed:

2. College Choices: ________________, __________________,________ ___

State: ______________ Private_______________ Already in college _____

OVERALL GPA:

PSAT: ACT: SAT:

High School: Grade: Graduation year:

Desired Major:

In State or Out-of State State:

School is Weighted: Y or N (What is the unweighed GPA of student)________

Pri/Pub

3. PLANS Amount

1. COUNSELOR PLAN$ (Only donations)

2. THE SUCCESS PLAN $ (based on issue age)

3. SAMPLER PLAN $ (just app fee) Pay as you go service

4. BASIC PLAN $ (based on issue age)

5. PROGRESSIVE PLAN $ (based on issue age)

6. AGGRESSIVE PLAN $ (based on issue age and time of year)

7. AMBASSADOR PLAN $ (based on issue age)

8. ENVOY / MINISTER PLAN $ 60/600

Bundled Program
Non Bundled Program 3.a TWC / 3.b THR / affiliate/ CPS Rep

___/ _____/ _____/ ______

3.c ChildPrint ID Kit

___________ (Did you provide a ChildPrint ID Kit) y/n

4. STEM/ STEAM Program –STEM WARS

Available to anyone. Scholarships are offered. We pay for any admission /app fees. Travel not included

Opt Out ______

I will pay for everything and anything affiliated with the STEM program including my travel. I may have to pay from $20 to $35 per event. No Scholarships offered

5. OWNER/PARENT: COMPLETE OTHER THAN PRIMARY PROPOSED APPLICANT (PAYOR FOR CHILDREN AGES 0-17)

Full Name:

Birth State:

Birth Date:

Age:

Address:

Approx. Annual Income $

Set a/s for College $

City & State:

Occupation & Duties:

Soc. Sec#

Email for student:

Email for parent:

6. Proposed Applicant: Height: Weight: In past 5 years been convicted of a felony? Yes No

If answered yes, briefly explain:

7. Opt

Status

FAFSA / TAX COLLEGE CREDITS: Our financial team will work to “Optimize” your FAFSA. Your savings, assets, non-“titled” items, and other factors can cause you to lose money.

Sampler pay Add $50.00

Out

______

Initial

I understand that if I Opt out I forfeit any and all additional benefits that CPS professionals may find for me to reduce my EFC. I also forfeit any financial aid “Free Money” info in CPS network.

Non -CPS / FAFSA - Tax referral Only: Benefit goes to : ________________________________

Refunds under $500 $75/ $501 to $1000 $175/$1001 to $3000 $250/ $3001 to $7000 $350/ above 8%

8. Opt

Status

CPS FINANCIAL AND TAX DEPARTMENT: CPS professionals are able to address the benefits of the tax code in reference to families with students in college to better address Tax & FAFSA. I give CPS financial department the right or authorization to do my Fed/State income taxes. Students only $50 for refund of $200 to $1000/ 7% $1001-$5000 6% $5001-$9,999

Out

______

Initial

I understand that if I Opt out I forfeit any and all additional benefits that CPS professionals may find for me to reduce my Tax benefits for parents of college students. I also forfeit any information and benefits for the student related to tax codes that helps with maximizing the FAFSA.

9. Opt

Status

STANDARDIZED TEST PREP SERIES (PSAT/SAT/ACT/ GMAT, and more training). We will offer state of the art test training to improve your student standardized test score. Circle answer

5 week class $800 / per class $175 5 week webinar $400/ $94 $100 Class Voucher----------

Out

______

Initial

I understand that if I Opt out I forfeit any and all additional benefits related to merit scholarships and other scholarships related to standardize high test scores.

To get most major/ merit scholarships transcript deadline MUST be met and scores of SAT 1290 and ACT 29.

(All high school transcripts need to be to IVY LEAGUE SCHOOLS by October 15th, 2018 and TOP TIER SCHOOLS by October 31, 2018) Prices will go up in our program for high school seniors starting November 15th!!

10. Opt

Status

PHONE: “Dialing For Dollars Scholarship Program” This program allows our customers (using our networks only) to accumulate scholarships each month they use our products.

____ Android Phone ____ iPhone ____ Phone Service / ____________carrier

*all phones must be financed through our affiliates

*can be used to pay off student loan also

(Opting In saves you processing, transitional and includes activation fee) Add: 100.00

Out

______

Initial

11. ____

Opt Out

I understand that this is a service only offered through CPS and I wish to forfeit any monies, scholarships, sponsors or funding thru this program. I have 72 hours to Opt back in wo/fee SCHOLARSHIP SEARCHES: These are top scholarships that are within our networks. We also offer ADDITIONAL Scholarship Searches (non generic). Free for all Plans except Sampler. Service is offered for $100 for up to 3 hours on Sampler Plan Customers /Circle FREE or $100

CPS fee 2% until 9/30 3% until 11/30 4% until 1/31 5% until 3/30 After 3/30 6%

12. Opt

Status

CREDIT SERVICES: Our financial department professionals have an array of services to offer to our families that are in our program. Check all services of interest.

----- Student Credit Card *

----- Student Credit Management

----- Student Line of Credit *

----- Student Finance Credit *

----- Student Loan Debt Relief

----- Student Insurance Plan (Access fee waived w/ bundle)

----- Student Retirement Plan (Access fee waived w/ bundle)

* (Opting In here allows you to take $300 off the accesses fee up to 90 days) Add: 50.00

Opt Out

______

Initial

I understand that if I Opt out of one or more of these services I forfeit any and all benefits connected to these services. I understand that if I decide to get these services after 48 hours I will be charged a separate access fee.

13. ADDITIONAL SERVICES OFFERED BY COLLEGE PLANNING SERVICES

$69.99

Cap, Gown and Diploma Cover (great for homeschoolers, charter schools, etc)

$499.99

for 1 to 3

violations

Expungements (for students with things on their recorded that stand in the way of progress)

Felons will have a hard time getting financial aid, scholarships and into many colleges.

$100

deposit

Graduation Party (CPS do the work for you of putting on a graduation party for your special graduate) Must be booked at least 5 months in advance to just pay $100 deposit/ 2 months must pay $250 deposit and full amount is due 10 days before event.

$25

deposit

Celebration Cake , Cupcakes and other special desserts for the one you wish to celebrate

We already include one specialized cake with Party package. You can order additional items

$150

I am interested in acting/ film/producing, music/artist/singing, modeling or writing. Circle all that apply. We will connect you with a professional in this field. Submit portfolio to Credit Voucher Amount Here __________

14. “C” Average Scholarship Tour

Opt Out: ____ I forfeit “C” average Scholarships and program

15. Contribution: MODE: Annual PAYMENT METHOD Direct

Monthly EFT

Mode Contribution Amount

$ Total Amount

16. Special Request

17. I the undersigned, by my signature set forth hereafter:

AGREE to the following

All statements and answers in this application are complete and true to the best of my knowledge and belief.
Except as stated, no benefits will take place unless services are paid for and contract is delivered to owner and/ or upon approval of applicant.
No College Planning Services associate has the authority to waive any answers or otherwise modify this application to bind College Planning Services, hereinafter called “Company”, in any way by making promises or representation which is not set out in writing in this application.
Representatives of this company do not have the authority to promise scholarships or amount of scholarships. These are done at the company corporate level and they are based on many factors that the applicant may or may not qualify.
$__amount_paid today__has been given to the associate whose name appears below as payment for this program contract applied for, and the terms of the Receipt bearing the same number as this application are accepted by the Contract Owner. If paid online check here: (No Cash Accepted)

Our system: ________ Paypal: ___________ Other: ____________

18. FOR OFFICE USE ONLY

(a) Referral #_________ (b)Career ________REG NTMFTO CVA/ VLLM VNB UDS/ RS/MS COREA/RA

19. I AUTHORIZE, as a part of the College Planning Services program, the permission of their associates to talk with the teachers, guidance counselors and other relative staff of my child’s School. This will only be for the purposes and nature of preparing my child for education. Do you permit College Planning Services to go into your child’s school on behalf of your child? Yes No

Signed at (City and State)

Date:

Signature of applicant (required if 18 or older)

Signature of Authorized Associate:

Signature of owner

NOTICE: Any person who knowingly presents false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for funding is guilty of a crime and may be subject to fines, confinement in prison, and denial of college planning benefits.

No. (Will be assigned to you)

CUSTOMER RECEIPT

Application No.

No. (Will be assigned to you)

RECEIVED FROM: __________________________THE SUM OF $_____________for the full first mode contribution specified in the application for College Planning Services, Atlanta, Georgia, which bears the same number and date as this receipt. The benefits for this application shall be in effect as outlined on the date of the receipt or once approved by the company. If the first contribution is NSF the contract will be placed on hold for 30 days or until fee and contribution is paid otherwise the contract will be void as of the date on contract.

PAYMENTS SHOULD BE PAID THROUGH EFT (PayPal)

ALL PREMIUM CHECKS SHALL BE MADE PAYABLE TO COLLEGE PLANNING SERVICES. DO NOT MAKE CHECKS PAYABLE TO THE ASSOCIATE OR LEAVE THE PAYEE BLANK. (No Cash Accepted)

By:

Date: