Student intake – The 318 Way

Your Information

Parent/Guardian Full Name *

Email Address *

Phone Number *

Student Name *

Age/Grade *

School (optional)

Which areas are most important for your student's growth? (Select all that apply)

Leadership and character development

Academic performance and study skills

Sports, arts, or extracurricular confidence

Emotional resilience and coping skills

Healthy family and community engagement

Career exploration and long-term vision

What is the most important outcome you hope to achieve for your student?

Optional but highly recommended

Are you interested in any of the following assessments for your student?

DISC Student Success Report – Understand your child's personality, motivators, and natural strengths

Student Career Report – Explore learning styles, thinking preferences, and prepare for future success

Unsure – I'd like guidance

How many hours of mentoring/coaching would best support your student's needs? (Customized selection: 1–15 hours recommended)

Preferred days/times for sessions

Are you interested in multi-year mentoring programs?

Yes

Optional, but powerful

What's one thing you wish your student could develop or understand better about themselves?

What's one area where you want to see your student build confidence, leadership, or resilience?

Once you submit this form, a member of The 318 Way team will:

Review your student's goals and report preferences
Reach out to schedule the first mentoring/coaching session
Begin a customized multi-year Growth Pathway tailored to your student's strengths and development goals