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.

If you don’t know the answer to a question, or don’t feel comfortable answering, feel free to skip it.
Name

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

Other
What high school do you attend, and what state are you in?
What's your current GPA (weighted or unweighted)
What's your strongest academic subjects?
What subjects do you find most boring or difficult?
SECTION 2: HOW YOU THINK
These reveal cognitive style - Critical for major fit
When you have free time and no obligations, what do you naturally gravitate toward? (examples: tinkering, reading, creating, socializing, competing, building things)
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.
Outside of school, what activities have you spent the most time on in the past two years?

Other
Have you done any of the following?

Other
What's the most meaningful thing you've built, created, or accomplished outside the classroom?
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?
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
Describe a moment where you were visibly engaged, excited, or proud of something you worked on (a school project, a personal achievement, a hobby, anything that shows us where they light up)
SECTION 6: COLLEGES
Do you have a list of schools you're already considering? What are they? Which of them are your dream schools?
Do you have a list of schools you're avoiding? What are they?
Which of the following factors matter most in college selection? Choose your top 3

Other
If you are considering for early applications, which schools are you aiming for? Leave blank if not applicable
SECTION 7: THE GUT CHECK
If money, prestige, and other people's opinions were completely off the table - what would you study?
What problem in the world do you most want to work on, even if you don't know how yet?
What's the most important thing you want this report to give you?
Anything else we should know before we begin?
SECTION 8: PARENT PERSPECTIVE
What are your top priorities as a parent in this college decision? Select your top 3

Other
Are there majors or career paths you hope your child pursue?
Are there majors or career paths you hope your child avoid?
How would you describe the current dynamic between you and your student about college and major decisions?
Is there anything specific you and your child disagree about that you'd like this report to help resolve? (This context helps us write a report that works for both of you, not just one of you)
Please upload your transcript:

Cancelof
Please upload your resume:

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

Launchpad Bundle

$299.00 Quantity

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
Should be Empty:

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

SECTION 8: PARENT PERSPECTIVE

My Products*

My Products