Intake Form | The College Transition Program

Section 1: About the Student

Basic information so we can personalise the programme from day one.

First Name *

Last Name *

Student Email *

Student Phone / WhatsApp

Current High School / Secondary School *

Expected Graduation Year *

Destination University / Programme (if known) It's okay if this is still being decided.

Expected Enrolment / Start Date When does your first semester begin?

Section 2: Parent / Guardian Information

The coaching programme is student-led, but we use a three-way agreement with parents to ensure everyone is aligned on boundaries and goals.

Parent / Guardian First Name *

Parent / Guardian Last Name *

Parent / Guardian Email *

Parent / Guardian Phone / WhatsApp *

How did you hear about The College Transition Program?

Word of mouth / referral from someone I know

School counsellor or teacher recommendation

Internet search

Other

Section 3: Readiness & Beliefs

These statements help us understand where the student is starting from. Students: please answer these yourself as honestly as you can.

Section 4: Experience & Expectations

These open-ended questions help us understand what you are bringing into the programme. There are no right or wrong answers.

Have you worked with a coach, tutor, or mentor before? What was that experience like? What worked well — or didn't?

What aspects of starting university feel most daunting or uncertain right now? Think about academics, social life, independence, identity — anything on your mind.

What do you think might help you work through those challenges? What resources, people, or strategies have helped you in the past?

Section 5: Goals & Vision

These questions form the foundation of Session 1. Take your time — your honesty here shapes the entire programme.

What is the most important thing you want to get out of this coaching programme? This becomes your personal "Focus Area" for our work together.

Describe where you are right now, in relation to that Focus Area. How are things for you currently? What are you thinking, feeling, and doing? What's the impact on your daily life?

What would success look like for you at the end of this programme? Paint a picture of your ideal first semester. What would you be thinking, feeling, and doing differently?

What do you consider your greatest personal strength right now? What do you naturally do well, and how do you think it will help you in university?

What do you feel needs to happen first — even just a small step — to begin moving toward your ideal outcome?

Is there anything else you'd like me to know that would make our coaching relationship as meaningful as possible? Learning style, communication preferences, life context, anything at all.

Section 6: Consent & Agreement

Please read the following carefully before submitting.

Do you agree to the coaching agreement conditions above? *

Yes, I agree

No — I have questions first (we'll follow up with you)

Would you like to receive calendar invitations for each coaching session? *

Yes please

No thanks

Do I have your permission to keep session notes and, where appropriate, use AI-assisted tools to review and improve my coaching practice? * Notes remain confidential and are used solely to support your growth.

Yes, I consent

No, I do not consent

Do you have any questions or comments before we begin?

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