College Intake Form College Client Intake Form Name of Parent or Guardian* First Last Name Parent or Guardian prefers to be called* Phone Number of Parent or Guardian* Best email to send parent or guardian messages* Email address parent or guardian uses for Google Drive (Google Docs)*This is usually a gmail account. Name of client receiving coaching* First Last Name client prefers to be called* Birthday (excluding year)*(MM/DD) Current Age* Phone Number of Client* Best email to send client messages* Email address client uses for Google Drive (Google Docs)*This is usually a gmail account. 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 Policy: In 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, including releasing Client's Emergency Contact information to emergency services. Client acknowledges that The Art of Applying is not providing psychotherapy or mental health counseling and is under no legal duty to report.*Select one.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 number*Emergency Contact #2's email address* Please upload your DISC profile. (optional but recommended)Take the test here: http://tonyrobbins.com/disc. We use the results from this profile assessment as one of the ways we match you with your dedicated consultant.Max. file size: 50 MB.Please share your 16 Personalities profile result. (optional but recommended)Take the test here: http://16personalities.com. We use the results from this profile assessment as one of the ways we match you with your dedicated consultant. What is your country of citizenship?* What city, state, and country do you LIVE IN NOW?* What kind of client are you?Choose oneChoose one.Application AcceleratorHourly CoachingWhat is your official start date for beginning your work with us?*Wednesday, November 11, 2020Wednesday, November 18, 2020Wednesday, November 25, 2020Wednesday, December 2, 2020Wednesday, December 9, 2020Wednesday, December 16, 2020Wednesday, December 23, 2020Wednesday, December 30, 2020Wednesday, January 6, 2021Wednesday, January 13, 2021Wednesday, January 20, 2021Wednesday, January 27, 2021Wednesday, February 3, 2021Wednesday, February 10, 2021Wednesday, February 17, 2021Wednesday, February 24, 2021Wednesday, March 3, 2021Wednesday, March 10, 2021Wednesday, March 17, 2021Wednesday, March 24, 2021Wednesday, March 31, 2021Wednesday, April 7, 2021Wednesday, April 14, 2021Wednesday, April 21, 2021Wednesday, April 28, 2021Wednesday, May 5, 2021Wednesday, May 12, 2021Wednesday, May 19, 2021Wednesday, May 26, 2021Wednesday, June 2, 2021Wednesday, June 9, 2021Wednesday, June 16, 2021Wednesday, June 23, 2021Wednesday, June 30, 2021Wednesday, July 7, 2021Wednesday, July 14, 2021Wednesday, July 21, 2021Wednesday, July 28, 2021Wednesday, August 4, 2021Wednesday, August 11, 2021Wednesday, August 18, 2021Wednesday, August 25, 2021Wednesday, September 1, 2021Wednesday, September 8, 2021Wednesday, September 15, 2021Wednesday, September 22, 2021Wednesday, September 29, 2021Wednesday, October 6, 2021Wednesday, October 13, 2021Wednesday, October 20, 2021Wednesday, October 27, 2021Wednesday, November 3, 2021Wednesday, November 10, 2021Wednesday, November 17, 2021Wednesday, November 24, 2021Wednesday, December 1, 2021Wednesday, December 8, 2021Wednesday, December 15, 2021Wednesday, December 22, 2021Wednesday, December 29, 2021Where did you go for high school?* What was your GPA in high school?* What are your extra curricular activities?*Which schools do you plan on applying to?*To which degree(s) are you applying?*What are your top 4 dream internships?*Do you have any potential "red flags" with your candidacy (i.e. failing grades, low test scores, etc.)?*What is your dream job right after graduation?*What is your ultimate long-term dream job?Feel free to upload a resume if you like.Max. file size: 50 MB.Which tests have you taken?* PSAT SAT ACT AP None How many times have you taken the above exam(s) in the past?* Provide test scores for tests you've taken:Which tests do you plan to take in the next 12 months?* PSAT SAT ACT AP None What books, classes, programs, or resources are you currently using or plan to use to study for the tests you plan to take?Would you like to add anything else?*Give us your availability to have your Assessment Call in the next three weeks. Enumerate as many available schedules as you can (all times in CST).* Δ