Student Application & Discovery Questionaire

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Name: *
Phone: *
Address:
Email: *
Age: *
School: *
Year Level: *
Gender	Male Female
What is the reason you want to learn more about your Natural Abilities?
Do you enjoy school?	Yes No
If Yes, Why? If No, Why?	If Yes... If No...
What classes or courses do you enjoy most and why?
What classes or courses do you enjoy least and why?
Tell me something you believe you are good at.
What are your hobbies, interest, what you like to do out of school?
When you were a child, what or who did you want to be when you grew up? And Why?
If you knew you could not fail, success was guaranteed, what career would you pursue?
Tell me about a “peak” experience, where you felt on top of the world. What were you doing?
What awards, honours, or recognition have you won or received, that you will enjoy telling me about?
What work would you be happy to do with no pay?
Please list 3 strengths and 3 weaknesses:	Strengths Weaknesses
Would you like to go to university?	Yes No
If yes, what do you think you would study? If no, what do you think you will do?	If Yes... If No...
What do your parents do?
How motivated are you to do this program?
Why Is That?
Do you have any learning disabilities, are you on medication or are there any other learning, medical, or behavioural issues that I should know about? Please List: