Underclassmen Intake Form

Post-Secondary Counseling Initial Intake Form

By completing this survey, you are providing our office with valuable information that will serve as a foundation for our conversations about your plans for life beyond high school.
General Information
Student Name*

First NameLast Name
Preferred Email*
example@example.com
Did your parents attend college? If so, where?*
Do you have an older sibling(s) in college or who has gone to college? If so, where?*
How would you define success after high school?*
For example, is it being admitted to a particular school? Making a lot of money? Having a work-life balance? Studying or doing something you love?
What are your favorite subjects?*
Are you an athlete, artist or musician interested recruiting, auditions and/or portfolios?*
Please specify
What do you enjoy doing in your free time?
How do you manage stress?*
College or Post-Secondary Information
Are you interested in exploring:*

Career-Focused TrainingProfessional Certificate2-year education4-year College DegreeI'm not sure
Have you visited any colleges campuses? If so, please list them below*
Do you plan to pursue financial aid/scholarships?*
In terms of size, do you think you prefer?*

Small: under 3,000 studentsMedium: 3,000-8,000Large: 8,000-20,000Very Large: over 20,000I'm not sure
Should be Empty:

Post-Secondary Counseling Initial Intake Form