Senior Questionnaire
Name: ______
Please complete questionnaire completely and thoughtfully. This process is extremely important for several reasons:
· The process helps you think about yourself - your past, present and future; your strengths and weaknesses; your goals and aspirations – as you begin your college search.
· Teachers and counselors will use this information to write your college letter of recommendation. The more information that is shared, the better prepared these professionals will be to write letters that most reflect you as a whole person.
Deadline: By the first day of school next year. You can turn into me before then or email it to me over the summer, but I must have a copy on the first day of school next year. You cannot schedule your senior conference unless I have a copy of your Senior Questionnaire in hand!
Feel free to attach a resume or any other extras that may better help inform us of all your involvements.
Honors/Awards at CLS- Place a 1 or 2 in the boxes to signify 1st or 2nd honors for the correct quarters for those Forms. Please write any other Academic Honors (such as Summa Awards or Subject Awards) that you have received and which years you’ve earned them off to the side.
P / I / II / III / IVQuarter 1
Quarter 2
Quarter 3
Quarter 4
WORK EXPERIENCE
Employer / Position / Duties / Hrs. per week / Dates of employmentCOMMUNITY SERVICE
Type of Service / Duties / Dates/# of Hours CompletedActivities at CLS
Place an X in the corresponding box(es) to indicate membership or participation. For offices and honors, please indicate the appropriate grade level. If your activity isn’t listed, write it in.
Club/Group / P / 9 / 10 / 11 / 12 / Offices Held / Honors, Awards, RibbonsAcademic Team
Book Club
Junior Classical League
Environment Club
The Leader –(newspaper)
Student Council
Yearbook
Pontifical Servers
National Honor Society
Peer Counselors
Pro-Life Club
Interact Club
Spanish Club
Student Council
Foreign Language Festival Awards, Other Awards
Subject / 9 / 10 / 11 / 12 / Place and Area
Please place an F for freshman, J for junior varsity and V for varsity team in the corresponding box(es). Please indicate appropriate grade level for awards, honors, achievements, etc.
Sport / P / 9 / 10 / 11 / 12 / Awards, Honors, Achievements, Role, etc.Section 2: Student Questionnaire
For each of the following questions try to use different descriptive words or phrases:
1. What are the first three words you think of to describe yourself?
1. 2. 3.
2. Have you participated in any summer programs, work or study opportunities that have been of significant importance to you? Please describe.
3. What are your top priorities for your senior year and why?
4. What do you like to do with your free time?
5. What community service activity (inside or outside of CLS) has meant the most to you. Why?
6. Is your high school record (grades, discipline, etc) an accurate representation of your ability and potential? Why or why not?
7. List what you think are your three greatest areas of academic strength.
1. 2. 3.
8. List what you think are the three areas in which you need improvement.
1. 2. 3.
9. What is your favorite class/subject? Why?
10. What has been your most memorable, positive experience at CLS? Why?
11. What was the most difficult thing you had to do while in high school(academic or non-academic)?
12. Do you have a college major in mind? If so…what is it…and how certain do you feel about it?
13. Do you have a career goal? If so…what is it?
14. What makes you unique in your senior class? Do you have a particular talent/skill/family background, etc?
15. Are you the first of your siblings to attend college? If not, where have your siblings attended?
16. Do you have any questions or concerns about the college application process?
17. Is there anything else about you that we have not covered in these questions that you would like the college admissions people to know? Tell me something unique about you that you think that the college admissions people would find interesting about you. Thank you for taking the time to do this assignment well.
Section 3: College Options
Do you have a list of colleges in mind ______yes ______no
If yes, please report your current list here: