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
Young Adult Client Information Page
Please complete all questions, thank you!
Name
*
First Name
Last Name
Client Email
*
Today's date
*
Date of birth
*
Gender
*
Male
Female
Client cell phone number
*
Home address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent's name
*
Parent's email
*
Parent's cell phone number
*
What is your current occupational status?
Full-time
Part-time
Unemployed
Current employer
What is your current position and how long have you been in that position?
From 1 to 10, how satisfied are you with your current position?
What do you like best about your current position?
What do you like least about your current job?
Favorite subjects and why?
What other career paths am I considering?
Extra curricular things I like to do
What colleges did you attend?
What degree(s) have you obtained?
What were your major(s) and why did you pick those majors?
Are you interested or able to go back to school?
Yes
No
Maybe
Describe yourself in 5 words
What do you hope to accomplish by completing assessments and consulting with Platinum?
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!
