Name
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First Name
Last Name
What grade are you currently in?
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7th
8th
9th
10th
11th
What is the best number to text you?
Your email address
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Your parent/guardian phone number
When do you feel most stoked/excited to be alive?
If it's the end of the world and you’re one of 12 people left alive, what skills / strengths would you bring to help the group survive?
hint: you don't need to be good at everything, nobody is. just tell us about what you're especially good at.
What could you teach in school and how would you do it?
What do you believe in passionately, and need support to fully realize your voice?
It's OK if you don't have a passion. A school's job is to help find one by simply starting with something you're curious about.
What I enjoy doing best is . . .
This could be your hobbies or how you spend your chill time.
I see myself . . .
Please check the three statements you most agree with. If there are more that aren't listed, please list them in the next text box.
running my own company
running a design lab
building something from the ground up
in a big university
in a small university
working with people
working in person with clients
working on projects primarily alone
working on many, quick paced projects
helping others solve their problems.
building something
helping people
taking the lead in every job I will have
as supporting my team
List any other things you hope to see yourself doing here.
My strengths are . . .
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Please choose 5 strengths below that best describe you.
You have a relentless need for achievement.
You often feel “when can we start?” is a recurring question in your life.
You live in the moment.
You often say,“prove it. Show me why what you are claiming is true.”
You are a conductor.
You have certain core values that are enduring.
You take charge.
You like to explain, to describe, to host, to speak in public, and to write.
You have a need to outperform your peers.
You know that we are all connected.
You look back to understand the present.
You identify, assess, and reduce risk.
You see the potential in others.
Your world needs to be ordered and planned.
You can sense the emotions of those around you.
Balance is important to you.
Your goals are your compass.
“Wouldn’t it be great if …” The future fascinates you.
You look for areas of agreement.
You are fascinated by ideas.
“Stretch the circle wider.” You can to include people and make them feel like part of the group.
You’re intrigued by the unique qualities of each person.
You collect information – words, facts, books and quotations.
You like to think. You like mental activity.
You love to learn.
Excellence, not average, is your measure.
You are generous with praise, quick with smile, and always on the look out for the positive in the situation.
You derive a great deal of pleasure and strength from being around your close friends.
You take psychological ownership for anything you commit to, and you feel emotionally bound to follow it through to completion.
You love to solve problems.
You have faith in your strengths.
You want to be very significant in the eyes of other people.
You sort through clutter and find the best route.
You win others over.
Experiences
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Please check any that apply to you. If there are more that aren't listed, please list them in the next text box.
I take public transportation regularly.
I prepare meals for myself and others.
I take care of siblings/ grandparents/ others in my family.
I speak more than one language (Ebonics counts) to different groups of people.
I speak a different language between school and home.
I have changed schools multiple times.
I have moved homes multiple times.
I live in more than one house right now.
I paint, tag, do graffiti, dance, write poetry/ raps/ music, create games.
Someone close to me has passed away.
I spend time with different caretakers/ guardians.
I have to avoid being harassed or bullied.
I interact with people of different races.
I interact with people who speak different languages.
I participate in team sports/ group activities.
I have a paid job.
I have an unpaid job (helping parents at work, chores at home).
I share a room.
I don’t share a room.
I live with multiple generations.
I live with more than just my direct family.
I have travelled outside the country.
I have witnessed violence.
How I interact / interpret my feelings
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Please check any that describe you.
I like to have time to reflect on my own before speaking to the group.
I like to talk my ideas out with other people while I'm brainstorming.
I get my energy from being with other people.
I get my energy from spending time alone.
I have large groups of friends.
I prefer to spend time with one or two friends at a time
I seem to be aware of subtleties in my environment
Other people's moods affect me.
I need to withdraw during busy days where I can have some privacy and relief from stimulation.
I am easily overwhelmed by things like bright lights, strong smells, loud noises.
I get rattled when I have a lot to do in a short amount of time.
When people are uncomfortable in a physical environment, I know what needs to be done to make it more comfortable.
I get annoyed when people try to make me do too many things at once.
I make it a point to avoid violent movies and TV shows.
When I must compete or be observed while performing a task, I become so nervous that I do much worse than I would otherwise.
How do you identify your gender?
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Feel free to use any terms you identify with; or, explain in your own words.
How do you identify your race?
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Feel free to use any terms you identify with; or, explain in your own words.
What do you wish people knew about you?
What do you think people see when looking at you?
Do you think it matters where you are when they see you?
What do you feel you need from high school?
How did you discover DSX?
What excites you most about DSX?