Student Name
Student E-mail Address
City
State/Province
Country
Year in School of Student
Pre-High School
HS Freshman
HS Sophomore
HS Junior
HS Senior
College
Gender
Male
Female
U.S. Citizen/Permanent Resident
Yes
No
High School Name
Type of High School
Public
Private
Current GPA
Unweighted
Weighted
What is the highest grade on your school's grading scale? (If your school weights grades, give the highest WEIGHTED grade)
Highest Grade on Scale
Class Rank
Your Rank in Class
Class Size
Your guidance counselor would probably say
that, when compared to the offerings available at your school,
your course load has been:
Most Demanding
Very Demanding
Demanding
Less Demanding
SAT I Scores
(SAT Reasoning)
Math
Verbal
Writing
SAT II Subject Scores
ACT Score
List of JUNIOR classes and final grades (for seniors only)
List of current courses
List of all Advanced Placement Classes Taken
and Scores for Tests if Taken
Significant Extracurriculars
What significant positions of leadership have
you held? Which of these do you consider the most prestigious
and why?
If you play a sport, how would you describe
your ability in it: Outstanding? Strong? Good? Average? Spirited?
Do you think you are good enough to play at college? If so, in
which NCAA division? (If you play more than one sport, be sure
to list each separately.)
Volunteer/Service work (activities and hours
per week)
Significant Honors
College Summer Programs
Colleges You are Considering
Major(s) You are Considering
Legacy Connections (list relationship and
college)
Is there any reason why a college would consider
you or a member of your immediate family a VIP (Very Important
Person)?
Did your parents graduate from college? If
so, from where?
What do your parents do for a living?
With whom (parent/s, grandparent/s, guardian,
etc.) do you live?
Do you consider yourself a member of a racial
or ethnic minority group? If so, which one?
Have you ever done something that you consider
to be truly exceptional? If so, what?
What is it that makes you most different from
your classmates and friends? (e.g., family situation, background,
activities, interests, beliefs)
Have you ever been denied admission to a college or college-sponsored program (e.g., summer program)? If so, please provide details.
Will you be applying for financial aid?
Yes
No
Paste Writing Sample Here
College Preferences
What colleges, if any, have you already seriously considered and rejected?
How far from home would you be willing to
go to college? (e.g., within a hour's drive or a day's? Anywhere
you can get to by car? )
Is a school that is primarily reached by airplane
from your home OK?
Yes
No
Do you prefer a big city? Suburb? Small town?
Rural?
Do you have a specific location in mind?
(e.g., Boston, California, NYC)?
What size colleges would you consider?
(Check more than one if appropriate.)
Small (Under 2,500)
Medium Small (2,500 - 5,000)
Medium (5,000 - 10,000)
Large (10,000 - 18,000)
Very Large (Over 18,000)
Would you consider a women's school? (if
you're female!)
Yes
No
Would you prefer a religious affiliation?
(If so, which?)
Do you think you'd fit in best at a college
with a reputation for being conservative, liberal, or other?
(Explain, as needed.)
How important is the cost of attending a college
in your final decision.
Utmost Importance
Very Important
Important
Secondary
Comments or Questions
Name of credit card holder
on order form