Intended Major or Field of Study______

Name Address

1.  List three adjectives which you, your family or friends would use to describe you. Give an example of each.

a.______

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b.______

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c.______

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2.  What do you see as your strengths?

3.  In what areas would you like to improve?

4.  What events, circumstances or experiences have had a major impact on your life? (e.g. moving, cultural differences, change of circumstance, etc.)

ASSESSING YOUR HIGH SCHOOL EXPERIENCE AND PERFORMANCE

1.  What factors (general, family, social, academic) contributed to your performance, either positively or negatively?

2.  How have you grown or changed during your high school years?

HONORS, AWARDS, AND CLASS OFFICES

Please list all awards, honors, and class offices held. Include year(s) as appropriate.

ACADEMIC AND EXTRA-CURRICULAR ACTIVITIES

Please list all school-related activities and clubs to which you have belonged during high school.

OTHER EXPERIENCES: Please list all study, travel. Summer and/or volunteer experiences you have had during high school.

LIST THE ACADEMIC/SPORTS/CIVIC HONORS/EXPERIENCE/AWARDS YOU HAVE RECEIVED DURING HIGH SCHOOL.

1.  2.

2.  4.

5.  6.

What would you like an admissions committee to know about you, e.g. who you are, what you value, what your goals are, and what contributions you have made? What makes you different?

HIGH SCHOOL ATHLETICS

Please put a JV (Junior Varsity) or V (Varsity) in the appropriate box. Include any leadership positions you have held, e.g. Captain, Manager, etc.

Sport / 9 / 10 / 11 / 12
Baseball
Basketball
Cheerleading
Cross Country
Field Hockey
Football
Golf
Ice Hockey
Lacrosse
Skiing
Soccer
Softball
Swimming
Tennis
Track
Volleyball
Wrestling
Other

OUT OF SCHOOL ACTIVITIES

Please list all OUT OF SCHOOL clubs, organizations, and activities in which you have participated during high school. These include such things as town athletics, art lessons, hobbies, civic organizations, religious organizations, etc.

WORK EXPERIENCE

Please list all jobs…PAID or VOLUNTEER…that you have held during high school.

PLACE OF EMPLOYMENT POSITION HELD

1.

2.

3.

4.