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Getting To Know Your Situation

By filling out this form, you help MAKE Foundation understand your aspirations, challenges, and passions. This allows us to tailor our 1-on-1 career counseling session to provide personalized guidance, uncover new opportunities, and help you make informed decisions about your future in STEM and beyond. Kindly keep your responses as accurate and elaborate as possible.

Student Details

Name

Date of Birth

WhatsApp Number

Email

Place of Residence

Pincode

State

School Name

Grade

Family Details

Father's Name

Father's Occupation

Mother's Name

Mother's Occupation

Annual Income

Student's Professional Details

Does the Student have any learning Challenges or Special Needs?

Yes/No/Prefer not to say (If yes, kindly specify)

Favourite Subjects

Subjects where extra support is needed

Current Academic Performance (On a scale of 1-10)

Current Academic Performance (On a scale of 1-10)
Needs ImprovementExcellent

Student's Hobbies (Mention 3 at least)

Any Competition/Extra-curricular Participation

Student's Ambition

Are there any specific concerns parents have about the Student's Career Path?

What kind of Learning Tools or Platforms does the Student use?

What are the expectations from this Counseling Session?

Imagine you have unlimited resources and time to work on a project or solve a problem in the world. What would you choose to do, and why? Describe your idea and how it reflects your interests, skills, or aspirations. (Maximum 100 words)

Kindly upload the Student's Passport size picture