Undergraduate Applicant Initial Intake Form I’m excited to be working with you! The first step is for you to fill out this intake form. Student Name * First Name Last Name Nickname Student Date of Birth * MM DD YYYY Student Email * Student Mobile Phone Number * Include country code if outside of the U.S. Country (###) ### #### Student Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Is English your native language? * Yes No Which languages do you speak besides English, if any? Sexual Identity * Heterosexual Gay Bisexual Queer Pansexual Prefer not to answer Other If you indicated other for sexual identity, please share below if you like Gender * Male Female Transgender Genderqueer / Gender non-conforming Prefer not to answer Other If you indicated other for gender, please share below if you like Preferred gender pronouns * He/Him She/Her They/Their Other If you indicated other for pronouns, please share below if you like Race or Ethnicity * Mark all that apply Asian (including the Far East, Southeast Asia or the Indian Subcontinent) Hispanic or Latino or of a Spanish-speaking country Black or of African or Haitian/Caribbean descent Native Hawaiian or Other Pacific Islander Native American or Alaska Native White (non-Hispanic) or Caucasian or of European descent Other If you indicated other for race or ethnicity, please share below if you like Do you have any special circumstances you would like to share with us? * First generation student (neither of your parents have completed university study) Student-athlete (you hope to compete in college) Student-artist (you hope to study art in college) LGBTQ+ student Homeschool student Transfer student Graduate school applicant Other If you indicated other for special circumstances, please explain below Are you a U.S. citizen or permanent resident? * Immigration status does not dictate your admission eligibility, but may impact other aspects of the college application process, such as financial aid. Your status will remain confidential and will not be shared with anybody without your permission. Yes No Marital Status * If you indicated other, you will have the opportunity to explain your answer later in the questionnaire. Single Married Other If you indicated other for marital status, please explain below High School * Name of high school (or college if applying to graduate school) High School Website Is Your High School Public or Private? * Public Private Briefly explain the rigor and types of courses at your high school For example, are AP/IB classes available, is there a program for advanced students, etc. Graduation Year * High school graduation year (or college graduation year if applying to graduate school) How many students are in your graduating class? * Year planning to enroll at university * Fields of Interest Please share any academic or career fields that are of interest to you (no need to be 100% certain) Unweighted GPA Please include your unweighted GPA as it is listed on your transcript. If you went to high school outside the U.S., please do not attempt to convert your GPA to the U.S. grade system. Parent 1 Name * First Name Last Name Parent 1 Email * Parent 1 Phone Include country code if outside of the U.S. (###) ### #### Parent 1 Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 1 Occupation * Parent 2 Name First Name Last Name Parent 2 Email Parent 2 Phone If phone number is the same for both parents, no need to fill this out again (###) ### #### Parent 2 Address If address is the same for both parents, no need to fill this out again Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 Occupation Highest level of education completed by either parent * Primary education Secondary education Bachelor's Master's Doctorate None of the above Standardized Exams * Please indicate the standardized exams, including those from your home country (if applicable), that you have taken PSAT SAT ACT AP Exam(s) IB Exam(s) TOEFL IELTS Duolingo Other (indicate which exams in the next question) If you indicated other, please list the other exams you have taken Please list your test scores and test dates for the exams you selected above AND provide some context. Example: "I got 90 out of 100, which was the highest score in my class. The exam consists of 10 subjects and my higest score was a 10 in English." * If you are an international student, please select any of the below that apply English is the primary mode of instruction at my current / most recent school I have previously studied in the United States for at least one semester I am currently studying in the U.S. at the high school level I am currently studying in the U.S. at the college level Have you started any parts of the college application process? * If so, how far along are you? Please select any that apply I haven't started yet (that's okay - that's what I'm here for!) I have started researching a few colleges I already have a list of colleges I would like to apply to I have started some drafts of my essays Which resources have you used to research universities? (It's okay if you haven't done any research yet) Which universities are you planning to apply to? * Please list all of the colleges you are considering. If none so far, indicate that. In which countries outside the U.S. are you considering applying? If this doesn't apply, no need to answer Which deadlines do you intend to pursue? We will talk more about this when we meet, but let me know below what your current plans are Early Action (non-binding) Early Decision (binding) Regular Decision Not sure... What is the full name of the contact person at your school (principal, counselor, teacher) who will submit documents (transcripts, etc.) on your behalf? * School official email * What is the email address for the school official who will submit documents on your behalf? Who will you be working with on your applications/essays aside from Magner Consulting? * Teacher(s) Counselor Parent(s) Other family member(s) Education USA (for international students) Other non-profit organization No one Other If you indicated other for the above question, please share more below Please share the top 3 doubts or questions you have about the college application process * Thank you for filling out the intake form! I’ll be in touch shortly about next steps.
