Student Intake Form
Name *
Your answer
If you wanted an individual appointment with the career coach, when would be the best time? *
What colleges are you interested in attending? Check all that apply: *
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What career fields are you interested in? Check all that apply *
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I need help: *
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What obstacles/challenges do you face in the career planning process? *
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What is the most important goal you'd like to accomplish through working with the career coach? *
Your answer
Who or what have been the biggest influences on your career interests? Why? *
Your answer
What are some careers you have considered so far? *
Your answer
What are your favorite school subjects? Why? *
Your answer
What are your least favorite school subjects? Why? *
Your answer
List three things you are excel at: *
Your answer
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