S.O.A.R. Life Academy Intake Application
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Email *
Name *
Phone Number *
What is your highest level of education completed?
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Are you currently employed or in school? (If yes, please specify.)
*
Do you have any previous experience with life skills training or personal development programs? If so, please explain.
*
Interests and Goals:
    •    Why are you interested in joining the Life Skills Academy?
    •    What specific skills are you hoping to learn or improve? (e.g., financial management, job readiness, communication, etc.)
*
Describe a personal goal you would like to achieve within the next year.
*
Current Skills Assessment
    •    Rate your current comfort level in the following areas: (for example, 1-5 scale)
    •    Time management
    •    Communication skills
    •    Problem-solving
    •    Financial literacy
    •    Conflict resolution
    •    Are there any specific challenges you currently face in daily life?
*
Program Commitment
    •    Are you able to commit to attending the academy regularly? (Please indicate availability if needed.)
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    Support System
    •    Do you have family or friends who support your decision to participate in this program?
    •    Is there anyone (mentor, counselor, etc.) who has encouraged you to join this program?
*
Additional Information
    •    How did you hear about the Life Skills Academy?
    •    Is there any other information you’d like us to know?
*
Are you prepared to make the minimal financial investment of $24.99/week? This investment will cover all course materials, instructional lectures, and weekly scheduled "open office hours" that will allow students to have personalized access to Dr. Levy to get clarity and guidance on specific issues on set days each week. *
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