Name:
Age:
Educational Level:
Gender:
Ethnicity:
Any identity/issues that should be considered when looking for a career? (veteran, legal
issues, etc.)
Currently employed? If yes, where?
What obstacles or challenges are you facing in your career planning process? (mark all
that apply)
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What is your reason for seeking career counseling?
Tell me about some of your strengths, skills, and/or talents:
Tell me about any jobs/internships/volunteer experiences that you have liked:
What do you perceive as the greatest barriers you currently face in your future
planning?
How do you think society has impacted your career journey?
How do you think your various cultural identities have impacted your career journey?
How do you think your family and any other important people have impacted your
career journey?