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Questionnaire template

Program Admission Application

Collects applicant contact details, education and work experience for admission to an academic or training program.

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Human Resources · Career finding. All Human Resources templates

Questions in this template

Personal Details

  1. Thank you for applying. Please answer as accurately as you can; supporting documents such as transcripts are submitted separately.

  2. Full name

    Open answer

  3. Date of birth

    Open answer

  4. Gender

    Choose one:

    • Female
    • Male
    • Another gender
    • Prefer not to say

  5. Email address

    Open answer

  6. Phone number

    Open answer

  7. Postal address

    Open answer

  8. What level of program are you applying to?

    Choose one from a list:

    • Undergraduate (bachelor's)
    • Graduate (master's)
    • Doctoral
    • Certificate or diploma
    • Other

  9. Please name the program you are applying to.

    Asked only when q_program_level.outcome == 5

    Open answer

Education

  1. Which school, college or university did you attend most recently?

    Open answer

  2. What was your overall grade average there? Please include the scale, for example 3.6 out of 4.

    Open answer

Work Experience

  1. Do you have work experience that relates to this program?

    Choose one:

    • Yes
    • No

  2. What is your current or most recent job title?

    Asked only when q_relevant_experience.outcome == 1

    Open answer

  3. Who is your current or most recent employer?

    Asked only when q_relevant_experience.outcome == 1

    Open answer

  4. How many full years have you spent in that position?

    Asked only when q_relevant_experience.outcome == 1

    A number from 0 to 50

  5. Describe your main duties and accomplishments in that position.

    Asked only when q_relevant_experience.outcome == 1

    Open answer

  6. How would you rate your own skill in each area? (1 = Not proficient, 5 = Highly proficient)

    • Communication
    • Leadership
    • Time management
    • Technical skills

    For each row: choose one:

    • 1 - Not proficient
    • 2
    • 3
    • 4
    • 5 - Highly proficient

  7. Which technical skills do you have? List the main tools, methods or technologies.

    Open answer