Name of Individual Taking the HAB * First Name Last Name Phone (###) ### #### Email to send HAB instructions * What are your passions, interests, hobbies? * What year are you? High School or College? * What is your favorite class/subject? What is your GPA or Typical Grade Averages * What do your parents/guardians do for work? * Do you plan to attend college/graduate school? If so, where would you like to attend and what do you hope to study? * What do you see yourself doing for a career in the future? * Do you have any known learning disabilities/challenges? (ADHD, Dyslexia, etc.) If so, and if willing to share, what is the diagnosis? * What do you hope to take away from the HAB and Debrief? * Is there anything else you think I should know before you take the HAB or have the Debrief? * Thank you! Student HAB Intake Student HAB Intake Student HAB Intake
