Success Coaching Program Application
What year are you in at Tulane?
Science and Engineering
Which of the following financial aid resources are you utilizing this year?
Who is your academic advisor?
Have you met with him/her this term?
Are you a transfer student?
Are you the first person in your immediate family to attend college?
Number of study hours per week:
In addition to class, what other obligations do you have?
Which of the following have impacted your ability to be successful? Please
My approach from high school no longer applies
Test taking skills/strategies
Conflict with professor/classmates
Difficulty with course content/underprepared
Course content/style not engaging or challenging
Inability to get motivated
Overwhelmed, stressed, anxious or tense
Alcohol or Substance issues
Difficulty prioritizing/managing time
Distracted/overuse of technology
Overinvolved in activities (including work)
Undecided major/changed major multiple times
Unclear on job options for my major
Unclear about professional goals
Uncertain about commitment to Tulane
College transition has been difficult
Difficulty making friends/finding social activities
Personal relationship challenges
Do you have a medical diagnosis that you wish to disclose to your Success Coach? (This information will ensure that our coaches are connecting you with the most appropriate resources.)
Who referred you to success coaching?
Have you already been in contact with a Success Coach?
If yes, please provide the name of the Success Coach you have met/spoken with.
What Goals would you like to achieve in coaching this semester? (Academic, Personal, and Career Goals)
Please rank the following statements from 1 to 5, where 1 is the least amount, and 5 is the most amount:
How important is it to reach your goals this semester?
How confident are you in your ability to reach your goals?
Which of the following are you willing to do in coaching to work toward your goals:
Partner with someone to develop plans to reach specific goals
Experiment with new and different approaches to achieve goals
Modify or eliminate behaviors that limit my success
Take part in a collaborative process with a coach and give feedback when appropriate
Attend weekly or biweekly meetings with a coach and arrive on time
How will you measure your success in coaching?
GPA, Grades, or other Academic Measures
Accomplishment of goals
My emotional and/or physical well-being
What else should we know about your current situation?