You could use the Form linked.
Please be transparent and state only facts to enable us to provide the best solution.
Concern: briefly mention what are your problems, concerns.
Goal: briefly mention what you want to be
Risk taking: if you are not getting the right path to the goal, are you willing to accept an alternate; can you take this as a challenge.
About you: mention about you, your family, resources, constrains, your values, your wants, your likings
Remember: Library, internet and direct contact with friends and relatives could give you possible option. But when you are with us, that makes a difference.