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
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.*
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 one
What is your official start date for beginning your work with us?*
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.*
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?*
What 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?

How much do you struggle with the following test-taking tasks?*

	I struggle very much in this area.	I struggle a little in this area.	I am so-so in this area.	I perform well in this area.	I perform very well in this area.
Knowing the content (e.g. math rules)
Being motivated to study
Staying focused and calm while taking the test
Managing your time while taking the test

Would you like to add anything else?*