Clone of Student Intake Form

This is where your report starts. The questions below help us understand your academic background and career interests better. Be specific — vague answers produce vague results. The quality of your assessment depends directly on the quality of your answers. Don't rush it. There are no right or wrong answers — only honest ones.

Full Name

First NameLast Name

Email - This is where your bundle will be delivered.

What is your current year in college?

What college do/will you attend?

What is your current major/minor? If undeclared, write "undeclared"

Declared status

Tell us what's going on with your major - what you're doubting, what's pulling at you, and what you've actually done about it so far. Don't worry about organizing it perfectly. Just tell us like you're talking to a person

Do you have a specific interest, field, or direction in mind right?

Based on what you just wrote - what's the one interest, field, or direction you want us to dig into? (If you named more than one, pick the one that feels most real right now.)

If you're doing something about this interest on your own, describe it -- a project, a class you sought out, anything — write 'N/A' if this doesn't apply

Rows	Activity Description	Hours/Week	Weeks so far
1
2
3

What do you think entry-level hiring looks like right now in this field of your interest?

Where'd that impression come from?

If you had to pick one to prioritize, which?

Which matters more to you?

Which pulls you more?

Are there specific companies, organizations, sectors, or industries you want to work in?

What majors are you considering? Rate each 1–5 on 'how strongly you identify with this major.

Rows	Major	Rate (1-5)
1
2
3

What's your current GPA (optional -- self-reported, used only to flag feasibility)?

Your three strongest subjects or courses" -- where you've performed best or felt most engaged

Rows	Subject/Course	Why
1
2
3

Your three weakest subjects or courses -- struggled with most or actively avoided

Rows	Subject/Course	Why
1
2
3

Which subjects or academic areas have you already ruled out (not as skills but as majors). Select all that apply.

*Your signature below indicates that the information you have provided above is truthful.

Date

Signature

Reports will be delivered within 72 calendar hours. Orders received after 5:00 PM ET on Friday or during weekends will begin processing the following Monday at 9:00 AM ET. The 72-hour delivery window for such orders begins at Monday 9:00 AM ET, regardless of when the order was originally submitted.

My Products

Discovery Bundle

$169.00

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

UTM Source

UTM Medium

UTM Campaign

STUDENT INTAKE FORM

SECTION 1: WHO YOU ARE

SECTION 2: YOUR STORY

SECTION 3: THE FOLLOW-UP

SECTION 4: WHAT YOU'RE ACTUALLY OPTIMIZING FOR

SECTION 5: YOUR MAJOR

My Products

STUDENT INTAKE FORM

SECTION 1: WHO YOU ARE

SECTION 2: YOUR STORY

SECTION 3: THE FOLLOW-UP

SECTION 4: WHAT YOU'RE ACTUALLY OPTIMIZING FOR

SECTION 5: YOUR MAJOR

My Products*

My Products