Candidate Assessment Form Candidate Assessment Part 1: Personal Information Name * First Last Name * Last Phone * Email * Birthdate Current Employment Status: Employed Unemployed Seeking Opportunities Under-employed Been out of work for 6 months or more Highest Level of Education Completed: High School/ GED Some College (did not complete) Associate Degree Bachelor’s Degree Master’s Degree Doctorate Degree Part 2: Self-Assessment Questions For each statement below, please rate your agreement on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree). Strongly Agree Agree Neutral Disagree Strongly Disagree I am actively seeking ways to improve my current job situation. Strongly Agree Agree Neutral Disagree Strongly Disagree I am open to learning new skills that could transform my career. Strongly Agree Agree Neutral Disagree Strongly Disagree I find it easy to adapt to new situations and environments. Strongly Agree Agree Neutral Disagree Strongly Disagree I often set personal and professional goals for myself. Strongly Agree Agree Neutral Disagree Strongly Disagree I feel motivated to make significant changes in my life. Strongly Agree Agree Neutral Disagree Strongly Disagree Part 3: Needs and Goals: Please briefly describe your response to the following questions: What are your current career goals and how do you plan to achieve them? Describe any challenges you face in maintaining personal or professional relationships. What skills or knowledge do you believe you need to acquire to advance in your career or personal life? Have you ever participated in any form of personal or professional development program? If yes, what was your experience? Part 4: Barriers and Challenges What are the biggest obstacles preventing you from achieving your personal and professional goals? How do you typically overcome challenges or setbacks in your life? Part 5: Commitment and Support How much time per week are you willing to commit to a development program? What kind of support do you expect from a personal and professional development program? Part 6: Final Thoughts Why do you think you are a good candidate for our personal and professional development services? Summary Once you submit your completed assessment, we will review your responses and schedule an initial consultation to discuss potential development pathways and program options. Submit If you are human, leave this field blank.