Adult/Leadership
Student career consulting
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Adult/Leadership
Student career consulting
Contact
About Us
The best aptitude assessment for college, vo-tech, and career.
Clients
Assessments
Consulting Packages
Blog
Student Client Information Page
Please complete all questions, thank you!
Name
*
First Name
Last Name
Client Email
*
Today's date
*
Year of birth
*
Gender
*
Male
Female
Client cell phone number
*
Home address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mom's name
*
Dad's name
*
With whom do you live with?
*
Both parents
Mom
Dad
I live on my own
Parent's email
*
Parent's cell phone number
*
Name of current school and grade level
*
Name of current college
Current Major
Majors you are considering
Favorite subjects and why?
Career paths considering
Extra curricular things I like to do
I understand that if I'm 25 years old or younger, at least 1 parent must attend the feedback meeting (whether by Skype or in person) and at least one parent will be cc'ed on all emails, and I consent to these two policies
*
Yes
No
I am 26 and older
Please enter 'no' in the box if you do not consent to allow Platinum employees answer questions from or share your results with your parents and/or those financially responsible for your assessments/consulting at Platinum.
Signature
*
Signature date
*
Thank you!
