1-1 Counseling Intake Form (First-time User)

Name

Phone

This address will receive a confirmation email

Gender

Male Female

If your church was not listed above, please enter your Church Name and Church Location below:

Church Name (if not listed)

Church Location (if not listed)

Are you a first generation college student?

A first-generation college student is a student whose parent(s)/legal guardian(s) have either not completed a bachelor's degree or obtained one outside the US. This means you are the first person in your family to attend a four-year college/university to attain a bachelor's degree in the US.

First Generation College Student

Yes No

Name School of Attendance

What is or will be your College Major?

How many AP/Honors/IB courses have you complete or plan to complete?

Please enter your grade for the current school year.

Grade

Unofficial High School or College transcript

Upload (8MB)

Resume/List of Extracurricular Activities

Upload (8MB)

How did you hear about this service? (Check all that apply)

Announced at Church CEF Mentor CEF Counselor Social Media Friends or Family Spiritual Competition Other (Specify Below)

If the way you heard about this service was not listed, please specify here:

How can CEF be of assistance to you? (Please be specific)

Which CEF Counselor would you like assistance from?

Katherine Sandy Either is fine

1-1 Counseling Intake Form (First-time User)

Description

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