COLLEGE APPLICATION INTAKE FORM 1

STUDENT INTAKE FORM

LAUNCHPAD BUNDLE
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.
Student Name

First NameLast Name
Student Email
example@example.com
What state are you in?
SECTON 1: ABOUT YOU
What grade are you currently in?

Other
What's your current GPA (weighted or unweighted)
How many AP, IB, or dual-enrollment (college) courses have you taken or are currently taking?
Are you planning to submit a SAT or ACT score to any of your target schools?
Which test?
What's your SAT score?
What's your ACT score?
What are your strongest academic subjects?

Other
What subjects do you find most boring or difficult?

Other
SECTION 2: HOW YOU THINK
These reveal cognitive style - Critical for major fit
Which of these describes how you prefer to solve problems?
Do you prefer working with data and systems, or people and ideas? (Scale: 1 = strongly data/systems -> 5 = strongly people/ideas)

1

2

3

4

5

1 is Worst, 5 is Best
Are you more energized by finding the answer to a specific question, or by exploring open-ended problems with no clear answer?
SECTION 3: WHAT YOU'VE ALREADY DONE
Actions reveal more than interests.
How do you actually spend your time - both structured commitments and unstructured free time?

Other
Have you done any of the following?

Other
Tell us what it was, why it mattered to you, and what it says about how you think or what you care about. (2-4 sentences is plenty — we're listening for substance, not length.) If nothing comes to mind, tell us what you do spend your free time on, even if it doesn't feel like an "accomplishment."

0/40
SECTION 4: CAREER & WORK STYLE
Not "what do you want to be", that's too vague. These questions are more useful.
Are there any career fields you're considering, even casually?
What are they? (List as many as come to mind — even ones you're not serious about.)
Which work environment sounds most appealing to you?

Other
How important is income to you relative to other factors like meaning, creativity, or flexibility? (Scale: 1 = income is not a priority -> 5 = income is my top priority)

1

2

3

4

5

1 is Worst, 5 is Best
Which of these outcomes matter most to you in a career? (Pick your top 3)

Other
How do you feel about graduate school (Masters or PhD)?
SECTION 5: SUBJECT INTEREST MAPPING
Rate your genuine interest in each of the following areas - not what you're good at, not what your parents want. (1 = no interest, 5 = deeply interested)
Biology and living systems

1

2

3

4

5

1 is Worst, 5 is Best
Technology and software

1

2

3

4

5

1 is Worst, 5 is Best
Mathematics and logic

1

2

3

4

5

1 is Worst, 5 is Best
Human behavior and psychology

1

2

3

4

5

1 is Worst, 5 is Best
Business and economics

1

2

3

4

5

1 is Worst, 5 is Best
Design and visual communication

1

2

3

4

5

1 is Worst, 5 is Best
Law, ethics, and policy

1

2

3

4

5

1 is Worst, 5 is Best
Medicine and healthcare

1

2

3

4

5

1 is Worst, 5 is Best
Physics and engineering

1

2

3

4

5

1 is Worst, 5 is Best
Environment and sustainability

1

2

3

4

5

1 is Worst, 5 is Best
Language, writing, and communication

1

2

3

4

5

1 is Worst, 5 is Best
History, culture, and society

1

2

3

4

5

1 is Worst, 5 is Best
SECTION 6: COLLEGES

Do you have a list of schools you're already considering? What are they? Which of them are your dream schools?

Rows	School Name	Dream School?	EA/ED Interest
1
2
3
4
5
6
7
8

Any schools you're deliberately avoiding, and why?
Which of the following factors matter most in college selection? Choose your top 3

Other
Which best describes your family's approach to paying for college?
SECTION 7: THE GUT CHECK
Anything else we should know before we begin? (E.g., a learning difference, a family circumstance, a scheduling constraint, or anything else that might affect your college search.)
*Your signature below indicates that the information you have provided above is truthful.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
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.

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Address

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STUDENT INTAKE FORM

SECTON 1: ABOUT YOU

SECTION 2: HOW YOU THINK

SECTION 3: WHAT YOU'VE ALREADY DONE

SECTION 4: CAREER & WORK STYLE

SECTION 5: SUBJECT INTEREST MAPPING

SECTION 6: COLLEGES

SECTION 7: THE GUT CHECK

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