Welcome — I’m glad you’re here

This intake helps me get to know your student and your family before we meet, so our time together can feel thoughtful, grounded, and meaningful.

A few things to know before you begin

There are no right or wrong answers here. This form is simply a starting point—an opportunity to share what feels important about your student, your family, and where you are in the college process right now.

Some questions are reflective and open-ended. You’re welcome to answer briefly or in more detail, whatever feels right for you.

The form takes approximately 10–15 minutes

You do not need to complete everything perfectly

You can skip any question that doesn’t feel relevant

Your responses are held with care

Everything you share is used solely to support your student and guide our work together. I review each intake personally and thoughtfully before our conversation.

Student Intake Form

Thank you for taking the time to complete this intake form. Your responses help me better understand your student and your family before we meet, so our initial conversation can feel thoughtful, grounded, and meaningful.

Student Information

Student's Name

Student's Date of Birth

Month

Day

Year

Student's Current Grade Level

Your Hopes & Concerns

What are your hopes or expectations for working with an independent college consultant?

(There’s no right answer here—anything you’d like to share is helpful.)

What feels most concerning or overwhelming about the college process right now?

Partnership & Roles

How do you imagine your role in the college application process? How do you see your student’s role?

(Every family approaches this differently—your perspective helps guide our work together.)

Getting to Know Your Student

If you were to share five things about your child that feel important for me to know, what would they be?

(Strengths, interests, quirks, values—anything that feels true to who they are.)

Is there anything about your child or your family that you’d like me to know before we begin working together?

(Optional, but welcomed.)

Tell me a short story that captures something essential about your child.

(A moment, memory, or example that feels meaningful to you.)

College Planning

Has your student begun thinking about colleges yet? If yes, you’re welcome to share up to five schools they’re currently considering.

(If not, you can leave this section blank—we’ll explore together.)

Parent / Guardian Information

Parent or Guardian Name

Second Parent or Guardian Name (if applicable)

Email Address

Phone Number

Home Address

Once you’ve submitted the form, you’re all set. I’ll be in touch soon with next steps ahead of our consultation.

Thank you for taking the time to share—this information allows me to support your student in a way that’s both thoughtful and individualized.