Participant Application Form
1. Name *
First and last name
Your answer
2. Email *
Your answer
3. What is your phone number? *
Your answer
4. What is your address? *
Your answer
5. What gender do you identify with? *
6. What is your age? *
7. What is your ethnicity? *
8. What is the highest degree or level of school you have completed? If currently enrolled, highest degree received. *
9. What is your marital status? *
10. Are you currently...? *
11. Name of current employer/business and position
Your answer
12. Years at the current position
12. Name of current school/training program
Your answer
13. Years left to complete
14. What is your annual household income? *
Your answer
15. Skill sets/abilities/knowledge? *
Your answer
16. What are your areas of interest? *
Your answer
17. What are your strengths? *
Your answer
18. Briefly describe your aspirations? Elaborate on where you see yourself in five (5) to ten (10) years from now? What are your plans for achieving your goals? *
Your answer
Growth Mindset
Growth Mindset evolves from an attitude of hard work, training, and perseverance. In comparison, individuals with a fixed mindset believe that success comes from innate ability, focusing on the rewards of immediate success and dread failure.
19. Provide a real life example when you applied a Growth Mindset and how you benefited from it?
Your answer
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