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Map Your Path

Welcome to Clear:Path! To help tailor our coaching to your specific goals and background, please complete this intake form fully.

Why this form matters: Your detailed responses allow us to make the most of our time together and create a clear, actionable plan for your transition.

Next steps: Once you submit this form, you will be provided with a link to schedule your 30-minute discovery call. Please ensure this form is completed entirely before scheduling.

Which best describes your current professional stage?

Young adult / Early career entering the workforce

Currently working in another field, looking to make a complete career pivot / second career

Returning to school after a break / gap

Other

What is your highest level of education completed thus far?

High School Diploma / GED

Some College / Associate Degree

Bachelor’s Degree

Master's / Advanced Degree

Please list any relevant work experience, military service, or previous professional background:

Full Legal Name

Preferred Name / Nickname

Best Contact Email

Best Contact Phone

Current Location

What is your primary career goal or target profession?

What is your target timeline for starting your program and entering the field?

What are the top 2 or 3 specific outcomes you want from our coaching partnership?

Have you already taken any college coursework or science prerequisites (e.g., Anatomy & Physiology, Microbiology, Statistics, Chemistry)?

Have you taken or scheduled any entrance exams (e.g., TEAS, HESI A2)?

Yes

Not yet / Planning to take it

Are there any specific academic hurdles, GPA concerns, or prior credits we need to review?

What does your current weekly schedule look like?

Working full-time

Working part-time

Managing family/caregiving responsibilities

Flexible / Not currently working