Advanced College Counseling

    NEW STUDENT QUESTIONNAIRE

    STUDENT INFORMATION:
    MOBILE NUMBER
    HOME NUMBER

    MOTHER'S INFORMATION:
    MOBILE NUMBER
    If different from student.

    FATHER'S INFORMATION:
    MOBILE
    If different from student.

    SIBLINGS:
    List all siblings, age & current school, if applicable.

    ADDITIONAL INFORMATION:
    List all learning differences & disabilities (family & student). Do you have a 504 or IEP?
    Please check all that apply.

    HIGH SCHOOL INFORMATION:
    ENTER TOTAL SCORE, CRITICAL READING SCORE, MATH SCORE & WRITING SCORE + DATE TAKEN
    LIST READING, MATH & WRITING + TOTAL SCORE AND DATE TAKEN AND IF ADDITIONAL TESTS ARE PLANNED
    LIST DATE/S TAKEN + ENGLISH, MATH, READING, SCIENCE, WRITING & TOTAL
    LIST ALL SUBJECTS, DATES TAKEN, SCORES AND ADDITIONAL PLANNED TESTS
    If you are working with a tutor, please give their name.

    QUESTIONNAIRE:
    WHEN ANSWERING THESE QUESTIONS, PLEASE REMEMBER THAT YOU CAN CHANGE YOUR MIND AT ANY TIME OR ADD SOMETHING NEW.
    Small, private, in state, big name, large athletic program, public, liberal arts, engineering, rural, college town, city, coastal, East Coast, weather considerations, liberal, conservative, etc.
    For example, possible majors, career goals, community service work, interests, religious affiliations, clubs, cultural ties, politics, disabilities, talents, arts, etc.
    List the most important first & the least important last.
    Please create a list of up to 10 schools (including possible majors & any additional relevant information) that interest you.

    ACTIVITIES, INTERESTS & AWARDS:
    List all leadership positions & years of participation.
    List all volunteer/community service & years of participation.
    List all athletics (club sports, high school teams, etc.) & years of participation.
    List all involvement with music and the arts & years of participation.
    List all clubs, organizations, and/or religious groups that your years of participation.
    List all honors & awards and year/s received.
Submit
Proudly powered by Weebly