New Nephew Questionnaire Form

1
Welcome To FatherType"A Place Where Dreams Are Mandatory"
2
Type Your Full Name* This field is required.
First Name
Last Name
3
Date of Birth* This field is required.
Date
Year
Month
Day
4
Contact Info: Phone Number* This field is required.
Please enter a valid phone number.
5
Email Address* This field is required.
example@example.com
6
Home Address* This field is required.Where do you currently live?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Please Select One Industry From the Options Below That You Are Most Interested in Pursuing a Career in:* This field is required.
Please Select
Please Select
Agriculture and Agribusiness
Automotive and Mechanics
Banking and Finance
Construction and Real Estate
Education and Academia
Energy and Utilities
Entertainment and Media
Healthcare and Medicine
Hospitality and Tourism
Information Technology (IT) and Computer Science
Manufacturing and Production
Marketing, Advertising, and Public Relations
Nonprofit and Social Services
Retail and Consumer Goods
Telecommunications
Transportation and Logistics
Aerospace and Aviation
Environmental and Sustainability
Government and Public Safety
Skilled Trade such as HVAC, Plumbing, Electrician, Carpenter etc.
8
What is Your Level of Knowledge About the Industry You Selected:* This field is required. is
Please Select
Please Select
No experience
Basic, I know enough to hold a conversation about it
Intermediate, I have some knowledge and experience in the industry
Advanced, I have full knowledge and experience in the industry
9
What is Your Learning Style:* This field is required.
a) Understanding better with visual aids like charts or diagrams
b) Learning best through listening and engaging in discussions
c) Preferring reading and writing to grasp information
d) Learning best through hands-on activities and practical experiences.
Other
10
What Are 3 Aspirations (Goals) That You Have:
Huge
Large
Normal
Small
Ok
Ok
11
What Is Your Dream :* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Consent and Agreement

By submitting this questionnaire, you confirm that the information provided is accurate
and that you are interested in participating in the Fathertype Mentorship Program. You
understand that this program is designed to provide guidance, support, and mentorship
based on your dreams and aspirations.
13
Electronic SignatureType your name to consent and agree to terms
14
DateTime
Should be Empty: