- Advisee Information Form -
Student ID: ______________________
First and last name: _________________________________________________
Preferred name: ______________________________________________________
Preferred pronouns: __________________________________________________
Nazareth email: _ ______________ ______________________________ Cell phone number: _________________________
Has anyone in your family (parents, siblings) attended college?
Y N
Graduated from college? Y N
What additional responsibilities (work, family, volunteer, etc.) will you have while attending college
and how many hours per week do they require?
What is your intended major? What led you to select this major and how certain are you about it?
What goals (educational, career, personal, life) do you have?
What types of curricular or co-curricular opportunities would you like to participate in while in
college (study abroad, internships, leadership roles, volunteering, etc.)?
Continued →
Background
Goals
AAC v2 Adapted from a form by Joe Cuseo, Professor Emeritus, Marymount College
What are you really good at? What comes easily to you?
What academic subjects interest you the most?
What do you like to do? What do you do for fun?
If you’ve had previous work or volunteer experience, what jobs or tasks did you most enjoy doing
(if any)?
How would your friends or family members describe you?
What does “being successful” mean to you?
Is there anything else that you’d like me to know about you that might help me get to know you
better or enable me to be a more effective advisor to you?
Other
Personal characteristics