Student Intake Form

MyAcademicMap Terms & Conditions

Please read carefully before completing your intake form. You must acknowledge and agree before proceeding.

What This Service Provides

This academic map is a planning tool, not an official academic record. It is a structured, semester-by-semester course sequence based on your intake information and publicly available degree requirements at the time of generation. It is not a guarantee of graduation, an official degree audit, an advising transcript, or a binding academic contract.

You must review this plan with your academic advisor before registering for any courses. All AP, IB, and dual enrollment credits must be confirmed by your institution's registrar. Course availability, prerequisites, and degree requirements are subject to change without notice.

Up to two revisions are included to correct errors based on incomplete intake information or operator mistakes within 90 days of delivery. Revisions do not cover a major switch, addition of a minor, or new academic decisions made after delivery.

Your academic map will be hosted for 90 days then permanently deleted from our servers. You are encouraged to download and keep a personal copy — the HTML file is yours to store indefinitely. We do not share your information with third parties.

This service is independently operated and is not affiliated with, endorsed by, or acting as an agent of your college or university.

User Agreement I have read and agree to the terms above and understand this academic map is a planning tool, not an official academic document.

You must agree to the terms before proceeding.

Page 1 of 13

Section 1 — Required Information

Student Intake Form

Tell us the basics about your academic situation.

Student First Name

Please enter your first name.

Email Address

Please enter a valid email address.

Selected University

Please enter your university.

Selected Major

Please enter your major.

Enrollment Period

Summer 2026 Fall 2026 Spring 2027

Please select an enrollment period.

Are you attending the main campus or an alternate campus?

Main campus Alternate campus

Alternate campus name

Please select a campus.

Page 2 of 13

Section 1 — Required Information (continued)

Student Intake Form

Are you accepted (or waitlisted) for Honors?

Yes No Waitlisted

Honors College Name

Please select an option.

Are you pursuing a double major?

Yes No

Second Major Name

Please select an option.

Are you pursuing an academic minor?

Yes No

Academic Minor Name

Please select an option.

Preferred semester course load

Light (12–13 cr) Standard (14–16 cr) Heavy (17–18 cr)

Please select a preference.

Did you take the SAT / ACT / CLT?

SAT ACT CLT Prefer to not include

SAT Composite Score

ACT Composite Score

CLT Score

Page 3 of 13

Section 2 — Advanced Placement (AP) Credits

Optional Information

Do you intend on using AP scores for college course credit?

✓ Yes ✓ No

List your AP courses and exam scores e.g., Environmental Science - 4, Physics C: Mechanics - 5, Calculus AB - 4 Assume test scores for courses not yet completed. Do not include courses you do not plan to apply for university credit.

Page 4 of 13

Section 2 — International Baccalaureate (IB) Credits

Optional Information

Do you intend on using IB scores for college course credit?

✓ Yes ✓ No

List your IB courses and exam scores e.g., Biology HL - 4, Chemistry HL - 7, English Literature SL - 4 Assume test scores for courses not yet completed. Do not include courses you do not plan to apply for university credit.

Page 5 of 13

Section 2 — Cambridge International Credits

Optional Information

Do you have any Cambridge International Credit?

✓ Yes ✓ No

List your Cambridge International courses and exam scores e.g., Chemistry AS - E, Geography AS - E

Page 6 of 13

Section 2 — College Level Examination Program (CLEP)

Optional Information

Have you taken any CLEP Exams?

✓ Yes ✓ No

List your CLEP exam names and scores e.g., College Algebra - 50, Principles of Macroeconomics - 52

Page 7 of 13

Section 2 — Dual Enrollment

Optional Information

Do you have any Dual Enrollment Credit?

✓ Yes ✓ No

List your Dual Enrollment class names and final grades e.g., Sociology - A, Anatomy and Physiology - B Assume final grades for courses not yet completed. Do not include courses you do not plan to apply for university credit.

Page 8 of 13

Section 2 — Seal of Biliteracy

Optional Information

Have you been awarded the Seal of Biliteracy by your school, district, or state?

✓ Yes ✓ No

List your Seal of Biliteracy language and seal level (Gold or Silver)

Page 9 of 13

Section 3 — Special Commitments

Optional Information

Do you plan to play sports at the intercollegiate (DI/DII/DIII/NAIA) or club level while in school?

Yes No

Sport Name

Season(s)

Fall Spring Summer Year-round

Are you in ROTC?

Yes No

Other significant time commitments?

Page 10 of 13

Section 4 — Schedule Preferences

Optional Information

Are you willing to take summer courses?

Yes No

Which summers are you open to?

After Year 1 After Year 2 After Year 3

Study abroad interest?

None Possible — not committed Definite

Which semester?

Program name and location (if known)

Page 11 of 13

Section 5 — Declared Major Uncertainty

Optional Information

How confident are you in your declared major?

Certain Likely — small chance of switching Actively considering switch

Alternate major you are considering

When would you expect to decide?

End of Year 1 End of Year 2

Page 12 of 13

Almost done

Ready to submit?

Review your information on the previous pages before submitting. Your advisor will receive your intake form and build your personalized academic roadmap — typically within a few business days.

What happens next:
Your advisor will review your intake form, research your university's official degree requirements, and build a complete four-year academic dashboard. You'll receive a private link at the email address you provided.

Page 13 of 13

MyAcademicMap Terms & Conditions

What This Service Provides

Student Intake Form

Student Intake Form

Optional Information

Optional Information

Optional Information

Optional Information

Optional Information

Optional Information

Optional Information

Optional Information

Optional Information

Ready to submit?

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