NAME OFAPPLICANT: ______________________________________________ DATE: _______________

INTAKE QUESTIONNAIRE

ACADEMIC PLAN:
 How will your area of specialization contribute to your long-term career plan?

SOCIAL ISSUES:

 If you’re given the chance to change the curriculum of your school, what changes will
you make?
 Cite a controversial issue and propose a solution

PERSONAL SUCCESS:

 How do you express your leadership in and out of school?

 Are you an introvert and extrovert? Explain.

BACKGROUND INFORMATION:

 How has your family upbringing affected your views in life?

 Pick a past experience in your life and explain how that incident has changed you.

RANDOM QUESTIONS:

 What was the biggest risk you have taken?

 What particular music has inspired you and why?
 What movie greatly affected you?
 If given the chance to meet a famous person (can be deceased or living), who would it
be and why?

STRANGE QUESTIONS:

 How do you feel about Friday?

 Who would be your biggest fan?
 What could be your greatest problem?
 Are we alone?