Success Coaching Program Application
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 negatively impacted your academic performance? Or areas in which you would like to improve? Please
My approach from high school no longer applies
Test taking skills/strategies
Over/under registered for courses
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
Learning difference - possible or diagnosed
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 school
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.
Why are you meeting with a Success Coach?
What would you like to accomplish by meeting with a Success Coach?
What are your goals for this semester? this year?
How will you measure your success during the coaching process?
What else should we know about your current situation?
Indicates Response Required