New Client Intake Form Please fill out the form below so that we can create your client folder, client portal, and add you to the clients-only Facebook group. Welcome to The Art of Applying family! Name* First Last Name you prefer to be called*Birthday (excluding year)*(MM/DD)Current Age*Phone Number*LinkedIn Profile*Best email to send you messages* Email address you use to log into 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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.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 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.*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?*Employed 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.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?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).*