MyCareerX: From Classroom to Career

Student Intake Form

To help us tailor the session content to your interests and needs, please answer the following questions. Your responses will help guide the focus of your careers counselling journey.

Section 1: Student Details
Day/month/year
Mobile Number and/or Email Address
More info on packages can be found at: https://mycareerx.com.au/services/
Section 2: Current Study Context
Name of educational institution
ATAR (Four digit number i.e 99.95)
Section 3: Study Habits and Barriers
3b. What most commonly gets in the way of your studying? (Select all that apply)
Section 4: Interests, Strengths, and Motivation
4a. Which activities do you enjoy most? (Select all that apply)
4b. Which strengths best describe you? (Select all that apply)
4c. What motivates you most? (Select all that apply)
Section 5: Lifestyle Preferences
Section 6: Experience and Career ExposureUntitled Title
Section 7: Constraints and Support Needs
Section 8: Career Focus and Session Goals
Section 9: Session Goals & Questions
9a. What is your preferred session outcome? (Select all that apply)
Section 10: Session Booking & Logistics
10a. Who will be attending the session?
Include specific days and time windows
10c. Do you have access to a laptop or desktop computer with reliable internet, and the ability to join a Zoom call?
Please review the MyCareerX Terms & Conditions before proceeding. The Terms & Conditions can be found at the bottom of any page on our website (footer), or via the following link: https://mycareerx.com.au/terms-and-conditions/. After reading and agreeing to the Terms & Conditions, please tick the box below to confirm your acceptance.