Learning to Leadership™ Student Success Academy
Student Success Assessment Every student has unique strengths, aspirations, and opportunities for growth. This assessment helps us gain a better understanding of your student's academic interests, leadership experiences, and future goals. Your responses will help us prepare for your Discovery Consultation and recommend the Learning to Leadership™ pathway that best supports your student's success. Estimated Completion Time: 7–10 minutes
Parent/Guardian Information
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Student
Please Select
Mother
Father
Guardian
Grandparent
Other
Student Information
Student Name
First Name
Last Name
Date Of Birth (Optional)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Grade
Please Select
9th
10th
11th
12th
Gap Year
College Freshman
College Sophmore
College Junior
College Senior
Current School
City
State/Province
Country
Student Snapshot
What best describes your student? (Check all that applies)
*
Curious
Creative
Leader
Organized
Independent
Compassionate
Athletic
Artistic
Entrepreneurial
Academic
Community-Oriented
Still Exploring
What subjects does your student enjoy the most?
What are your student's greatest strengths?
What areas would you like your student to strengthen?
Not sure which pathway is right for your student? That's perfectly okay. We'll help you determine the best fit based on your student's goals, interests, and educational journey.
Current Pathway Interest
Foundation Pathway (9th-10th)
University Success Pathway (11th-12th)
College Success Coaching
I'm not sure
Leadership & Engagement
Has your student participated in any of the following?
*
Student Government
Athletics
Community Service
Clubs & Organizations
Faith-Based Activities
Employment
Entrepreneurship
Performing Arts
Visual Arts
Academic Competitions
None Yet
Please describe any leadership roles or accomplishments.
College & Career Aspirations
Has your student started thinking about college?
*
Yes
Somewhat
Not Yet
Which college destinations are you considering?
*
United States
Canada
United Kingdom
Europe
Africa
Asia
Caribbean
Undecided
Does your student have colleges in mind?
Career Interests
Business
Medicine
Education
Engineering
Law
Communications
Arts & Design
Technology
Entrepreneurship
Public Service
Sports
Undecided
Other
Student Success Goals
Which areas would you like support with?
Academic Planning
Time Management
Organization
Confidence
Leadership Development
Public Speaking
College Planning
Scholarship Planning
College Applications
Personal Statement & Essays
Resumé Development
Interview Preparation
Internship Planning
Summer Pre-College Programs
Dual Enrollment
Portfolio Development
Career Exploration
Graduate School Planning
College Success Coaching
Other
What is your family's biggest educational goal for your student?
If your student could accomplish one major goal during the next year, what would it be?
Learning Preferences
How does your student learn best?
Visual
Hands-On
Reading & Writing
Listening
Small Groups
One -on- One Support
Independent Learning
Is there anything else you would like us to know about your student?
Acknowledgement
*
I understand this assessment helps Learning to Leadership™ better understand my student's strengths and goals.
I understand this assessment is not an academic evaluation or admissions decision.
I certify that the information provided is accurate to the best of my knowledge.
Submit
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