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Sign up for an Agent

Sign Up for 24/7 Support with Student Success Agency!

Ready for round-the-clock support? Whether it’s academic help, social guidance, or navigating post-secondary opportunities, our near-peer Agents got your back. This application is intended for families and teens to complete together to ensure a shared commitment to success.

Student's Name(Required)
We work with students ages 13-20
Email(Required)
How often do you (teen) plan to use Student Success Agency's wellness services?(Required)
We offer wellness sessions for stress relief, happiness, and mindfulness.
How often do you (teen) plan to use Student Success Agency's tutoring services?(Required)
We offer wellness sessions for stress relief, happiness, and mindfulness.
Legal Guardian Contact Information(Required)
Legal Guardian Email(Required)
Teen’s home address (so we can send you cool swag)