Consultant Intake Form Consultant Intake Form Personal InformationName*Birthday (MM/DD)*This field is hidden when viewing the formBirthdayPreferred email to send you messages* Email address* You will be added to our TAOA Consultants mailing list for team announcements.Email address you use for Google Drive (Google Docs)* Would you like to be added to The Art of Applying mailing list for regular subscribers?* Yes No You can unsubscribe at any time.Phone Number*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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 Country Emergency Contact Policy:*Select one.I agree to the Emergency Contact Policy.I do not agree to the Emergency Contact Policy. In the event that The Art of Applying is concerned that Consultant is in danger or is in danger of harming someone else, Consultant authorizes The Art of Applying to contact emergency services and/or Consultant’s Emergency Contacts, and to provide them with any appropriate information relevant to the situation, including releasing Consultant’s Emergency Contact information to emergency services. Consultant acknowledges that The Art of Applying is not providing psychotherapy or mental health counseling and is under no legal duty to report.Emergency Contact Person*Emergency Contact's relationship to you*Emergency Contact's phone number*Emergency Contact's email address* Educational & Professional BackgroundConsultant Undergraduate Degree, School and Year Graduated*All Undergraduate Schools Accepted To*Please include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)Consultant Graduate School and Year Graduated*Consultant Graduate Degree(s)*Please include any minor/areas of concentration in addition to main degree programAll Graduate Schools Applied To*Please indicate whether the application was accepted, waitlisted or rejected. Also, include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)Consultant Graduate Degree(s)*MPPMPAMBAEMBAMDJDEDPHDMSOthersOther graduate degrees not mentioned above:*Consultant Acceptances (other schools you received acceptances from)*Please include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)Professional Experiences*Language Fluency (Written and Spoken)Consultant-Client Reference GuidePlease indicate your availability on weekdays and weekends below.*Ex. Mondays, Wednesdays and Fridays – 8-10pm CST | Tuesdays and Thursdays – 6pm-10pm CST | Saturdays – 2pm – 5pm CST | Sundays – Not Available | Degrees you'd like to work with*MPPMPAMBAEMBAMDJDEDPHDMSOthersOther degrees not mentioned above:*This field is hidden when viewing the form16 Personalities Result(Take the test here: http://16personalities.com. We use the results from this profile assessment as one of the ways we match you with a client.)Best Fit Client* Choose here. Male Female Transgender / Nonbinary Multiracial Arab East Asian South Asian Black Latinx White Domestic Applicant International Applicant Older-than-usual Applicant Younger-than-usual Applicant First-Generation College Student Reapplicant Joint Degree (Business + Other) Joint Degree (Law + Other) Joint Degree (Policy + Other) Aspiring Elected Official Aspiring Consultant Aspiring Entrepreneur ADHD and/or Dyslexia Anxious Client Style Avoidant Client Style Secure Client Style Religious – Christian Religious – Other Other Choose at least 5This field is hidden when viewing the formBest Fit Client – Choose 5 (Hold CTRL to select multiple choices)*LGBTQMaleFemaleTransgender / NonbinaryMultiracialArabEast AsianSouth AsianBlackLatinxWhiteDomestic ApplicantInternational ApplicantOlder-than-usual ApplicantYounger-than-usual ApplicantFirst-Generation College StudentReapplicantJoint Degree (Business + Other)Joint Degree (Law + Other)Joint Degree (Policy + Other)Aspiring Elected OfficialAspiring ConsultantAspiring EntrepreneurADHD and/or DyslexiaAnxious Client StyleAvoidant Client StyleSecure Client StyleReligious – ChristianReligious – OtherOtherOther client types not listed above:*Coaching Call ScheduleWhich time blocks are you generally available for coaching calls on MONDAYS – THURSDAYS in Eastern Time?* 5 am – 7 am 7 am – 9 am 9 am – 11 am 11 am – 1 pm 1 pm – 3 pm 3 pm – 5 pm 5 pm – 7 pm 7 pm – 9 pm 9 pm – 11 pm None of the choices Which time blocks are you generally available for coaching calls on FRIDAYS in Eastern Time?* 5 am – 7 am 7 am – 9 am 9 am – 11 am 11 am – 1 pm 1 pm – 3 pm 3 pm – 5 pm 5 pm – 7 pm 7 pm – 9 pm 9 pm – 11 pm None of the choices Which time blocks are you generally available for coaching calls on SATURDAYS in Eastern Time?* 5 am – 7 am 7 am – 9 am 9 am – 11 am 11 am – 1 pm 1 pm – 3 pm 3 pm – 5 pm 5 pm – 7 pm 7 pm – 9 pm 9 pm – 11 pm None of the choices Which time blocks are you generally available for coaching calls on SUNDAYS in Eastern Time?* 5 am – 7 am 7 am – 9 am 9 am – 11 am 11 am – 1 pm 1 pm – 3 pm 3 pm – 5 pm 5 pm – 7 pm 7 pm – 9 pm 9 pm – 11 pm None of the choices What else would you like to share about your availability?* Δ