New Client Intake Form 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 HiddenBirthday (excluding year)(MM/DD) Current Age Phone Number* LinkedIn Profile Best email to send you messages* HiddenProfile Name Used on Facebook Email address you use 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.* I agree to the Emergency Contact Policy. I do not agree to the Emergency Contact Policy. HiddenEmergency 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 numberEmergency 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 HiddenPlease 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.HiddenPlease 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 Accelerator® BronzeApplication Accelerator® SilverApplication Accelerator® GoldHidden[this question is hidden] What is your official start date for beginning your work with us?*[other]Where did you go for college? What was your major in college? What was your GPA in college? Which of the following courses have you taken and earned a B or better?Some of these courses are recommended for increasing your competitiveness and preparation for top policy school and business school programs. Statistics Macroeconomics Microeconomics Accounting Finance Multivariable Calculus None of the above. If you have additional degrees, list them here. What are your top 3 schools?*Which schools do you plan on applying to?*To which degree(s) are you applying?*Who are the first 4 people you are going to tell when you get into one of your target schools?What are your top 4 dream internships?What are 3 things you want the other clients in the program to know about your personal and/or professional background?Do you have any potential "red flags" with your candidacy (i.e. failing grades, low test scores, legal issues, etc.)?*What is your current employment status?choose oneEmployed Full-TimeEmployed Part-TimeFull-Time Temporary ContractorPart-Time Temporary ContractorSelf-employedNot employed but looking for workNot employed and not looking for workHomemakerRetiredStudentWhat is your current profession? How many years of post-college full time work experience will you have when you submit your applications? What is your dream job right after graduation from graduate school?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? GRE GMAT LSAT MCAT TOEFL / IELTS 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? GRE GMAT LSAT MCAT TOEFL / IELTS None What books, classes, programs, or resources are you currently using or plan to use to study for the tests you plan to take?HiddenUpload materials for editing.You can upload up to 5 different files. Please upload your files as a Word document. Drop files here or Select files Accepted file types: doc, docx, Max. file size: 50 MB, Max. files: 5. HiddenOptional: Upload background information.You can upload your resume, transcript, or other information that you think would be helpful to your consultant. Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 50 MB, Max. files: 5. HiddenWould you like your sample essay ASAP or when we return your edited materials to you?You will have view-only access to the sample essay for 7 days.Choose one.I would like a sample essay ASAP.I would like a sample essay when you return my edited materials.HiddenWhat kind of sample essay would you like to see?Tell us the school, degree, and essay topic. We will do our best to match all these aspects, but we can’t guarantee we’ll have an exact match for your request. Would you like to add anything else?HiddenGive 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). Δ