College Intake Welcome to The Art of Applying® community! Please fill out the form below so that we can create your client folder and client portal. For any information you have already provided, you can rewrite it or write “see Applicant Profile.” Name* First Last Name you prefer to be called* Pronunciation Guide for your name*example: Kaneisha = Kuh-nee-sha Birthday (excluding year)*(MM/DD) Current Age* Phone Number* Best email to send you messages* Best Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Emergency Contact PolicyIn the event that The Art of Applying is concerned that Client is in danger or is in danger of harming someone else, Client authorizes The Art of Applying to contact emergency services and/or Client's Emergency Contacts, and to provide them with any appropriate information relevant to the situation. Client acknowledges that The Art of Applying is not providing psychotherapy or mental health counseling and is under no legal duty to report.* I agree to the Emergency Contact Policy. I do not agree to the Emergency Contact Policy. Emergency Contact #1* First Last Emergency Contact #1's relationship to you* Emergency Contact #1's phone number*Emergency Contact #1's email address* Emergency Contact #2 First Last Emergency Contact #2's relationship to you Emergency Contact #2's phone numberEmergency Contact #2's email address AvailabilityGive us your availability to have your Game Plan Session in the next three weeks. Enumerate as many available schedules as you can (all times in CST):* Educational BackgroundWhat high school do you attend?* Which standardized tests have you taken?* PSAT SAT ACT NONE Provide your scores for the above tests:* Which tests do you plan to take?* PSAT SAT ACT NONE Please list your academic interests* Do you participate in any extracurricular activities?* Yes No If so, which ones?* College AspirationsWhat are you looking for in a college?*What are your top 3 dream colleges?*Career InterestsWhat is your dream job?* What are your top 4 dream internships?*Additional InformationWhat are 3 things you want us to know about your personal and/or academic background?*Do you have any potential "red flags" with your candidacy (i.e. failing grades, low test scores, legal issues, etc.)?* Would you like to add anything else?*Personal Interests and HobbiesWhat are your hobbies and interests outside of school?* Leadership and Community InvolvementAre there any clubs or organizations you are interested in joining or starting at your current school or future college?*Have you held any leadership positions (e.g., class president, club officer, team captain)? If so, please list them:**Are you involved in any community service or volunteer activities?* Yes No If yes, please describe:* Academic Achievements and HonorsHave you received any academic awards or honors?* Yes No If so, please list them:* Have you participated in any academic competitions (e.g., science fairs, math Olympiads)? If so, please describe:* Personal Goals and AspirationsWhat are your short-term academic goals (e.g., for this school year)?*What are your long-term academic goals (e.g., for this school year)?*Family BackgroundDo you have any family members who attended college?* Yes No If so, where did they attend?* Are there any family traditions or cultural aspects that are important to you?*Learning PreferencesDo you have any preferred learning styles (e.g., visual, auditory, kinesthetic)?* Do you require any particular accommodations or support in your learning environment?* Yes No If so, what kind?* Δ