All About You: Student Information
Student Information - page1
/ MI College SupportJoan Franklin
Independent College Counselor /
9228 SE 33rd Place
Mercer Island, WA 98040
Phone (206) 232-5626
All About You: Student Information
I. Personal Facts
Name:______/ School______Birthdate:______/ Current Grade:______
Address:
______
______/ Home Phone:______
E-mail:______
Cell Phone: ______
II. Academic Profile
Please list high schools attended in chronological order,
SchoolCityState
______
______
______
Please fill in course names and grades for each high school year, noting any honors or accelerated courses you took:
Freshman Year
Class Name / Semester 1
Grade / Semester 2
Grade / Final
Grade
ENGLISH
MATH
HISTORY
SCIENCE
FOREIGN LANG.
VIS./PERF. ART
OTHER
OTHER
sophomore Year
Class Name / Semester 1
Grade / Semester 2
Grade / Final
Grade
ENGLISH
MATH
HISTORY
SCIENCE
FOREIGN LANG.
VIS./PERF. ART
OTHER
OTHER
junior Year
Class Name / Semester 1
Grade / Semester 2
Grade / Final
Grade
ENGLISH
MATH
HISTORY
SCIENCE
FOREIGN LANG.
VIS./PERF. ART
OTHER
OTHER
Senior Year
Class Name / Semester 1
Grade / Semester 2
Grade / Final
Grade
ENGLISH
MATH
HISTORY
SCIENCE
FOREIGN LANG.
VIS./PERF. ART
OTHER
OTHER
What is your current cumulative GPA? weighted______unweighted______
What is your current rank in class (if known)?______
Expected date of graduation______
Name of your high school college counselor______
Are you currently on an IEP (Individualized Educational Program)?YESNO
Have you been on an IEP in the past?YESNO
Do you have physical disabilities? YESNO
If yes, please give specifics______
Have you been diagnosed with Attention Deficit Disorder? YESNO
If yes, are you taking medication for this?YESNO
If you have had any significant difficulties in school other than a diagnosed learning disability, please describe them, and list any special circumstances surrounding them.
______
______
______
______
III. Testing History
Please list test dates and any scores you have received on college entrance exams:
Date
______PSAT:CR:______M:______W:______
______PSAT:CR:______M:______W:______
______SAT:CR:______M:______W:______TOTAL SCORE______
______SAT:CR:______M:______W:______TOTAL SCORE______
______SAT II:______:______
______SAT II:______:______
______ACT: Eng:Math:_____Reading:______Science:______Composite:______
______ACT: Eng:Math:_____Reading:______Science:______Composite:______
______ACT Writing Score: ______
______AP Test: Subject:______Score:______
______AP Test: Subject:______Score:______
______AP Test: Subject:______Score:______
______AP Test: Subject:______Score:______
List names and dates of any future tests you plan to take:
______Test: ______
______Test: ______
______Test: ______
Student Information - page1
IV. High School Resume OrganizerSchool Related Extracurricular Activities
Grade Level / Approximate Time Spent
Organization/Activity / 9 / 10 / 11 / 12 / hours/week / weeks/Year / Leadership positions held, honors & awards won
Athletics (School and/or Club)
Grade Level / Approximate Time Spent
Organization/Activity / 9 / 10 / 11 / 12 / hours/week / weeks/Year / Leadership positions held, honors & awards won
Activities (not related to school)
Grade Level / Approximate Time Spent
Organization/Activity / 9 / 10 / 11 / 12 / hours/week / weeks/Year / Leadership positions held, honors & awards won
Personal: List additional personal interests, honors and awards
Grade Level / Approximate Time Spent
Organization/Activity / 9 / 10 / 11 / 12 / hours/week / weeks/Year / Leadership positions held, honors & awards won
Work and Volunteer Experience
Grade Level
Organization/Activity / 9 / 10 / 11 / 12 / Leadership positions held, honors & awards won
Summer Activities (not mentioned above, such as travel)
Summer after 9th grade
Summer after 10th grade
Summer after 11th grade
Summer after 12th grade