CONFIDENTIAL

UNIVERSITY COUNSELLING OFFICE

STUDENT QUESTIONNAIRE – FOR BOYS ENTERING IB1 (CONFIDENTIAL)

Career Studies Assignment

Please return to the University Counselling Office by THURSDAY, September 14, 2017

Full Name: ______

First Middle Last

Preferred first name: ______House: ______

Date of birth: ______Citizenship: ______

Month Day Year

Please answer ALL the questions thoughtfully and with candour. We need this information in order to help you plan your post-secondary applications. Your replies are confidential.

Education:

When did you enter UCC? (Include the Prep) ______Grade Level ______
Year
Which school(s) did you attend prior to UCC?
Name: ______City: ______Grade Level(s): _____
Name: ______City: ______Grade Level(s): _____

Which subject(s) did you enjoy the most prior to IB1? Why?

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Which one(s) have you found the most challenging? Why?

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On what types of assessments do you feel you perform best? (Where appropriate, check more than one)

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5 Exams

5 Tests

5 Essays

5 Projects

5 Presentations

5 Discussions

5 Other (specify):

______

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How do you learn best? (Where appropriate, check more than one)

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5 Lecture 5 Reading

5 Small group discussion 5 One-on-one 5 Other (specify): ______

On average, how many hours do you spend on school work outside of class time?

Each school day: ______hours Each weekend: ______hours

What do you consider to be your most significant academic achievement thus far? Why?

This may be an accomplishment for which you received formal recognition, or a source of private satisfaction only.

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Does your academic record thus far in high school accurately reflect your ability and potential? If not, why not? What steps do you plan to take to reach your academic goals in IB1 and IB2?

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Please describe any outside circumstances that have negatively affected your academic performance.

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Activities and Interests:

List your main extracurricular interests and activities and years of involvement (including those you plan to start in IB1). These should include the things you do both inside and outside of UCC. Once complete, please rank your entries in order of their importance to you.

Activity

/

UCC

/

Non-UCC

/

Type of Involvement/Position/Duration

/

Y1

/

Y2

/

FY

/

IB1

/

Rank

Horizons / x / Tutor, School Year / x / x / x / 2
Baseball / x / x / Pitcher, Captain, Spring term & Summer / x / x / x / 3
Key Club / x / Treasurer, All Year / x / 1

What have you gained or learned as a result of your involvement in these activities? Be specific.

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List any of these types of activities (or others) you plan to pursue after high school.

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How did you spend the summer after Foundation Year? In what ways did this experience benefit you?

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What aspects of your high school experience have you enjoyed the most? And the least? Please explain why in each case.

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What do you consider to be your most significant contribution to the UCC community? Why?

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Your Qualities as a Person and Relationships with Others:

Circle five characteristics from the lists below that you feel others (teachers, coaches, advisor, fellow students) would use to describe you.

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Love learning

Willing to forgive

Open-minded

Socially aware

Enthusiastic

Disciplined

Balanced

Curious

Honest

Leader

Optimistic

Persevering

Funny

Team player

Reflective

Creative

Modest

Courageous

Kind

Fair

Principled

Risk-taker

Helpful

Respectful

Patient

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Which of the qualities that you haven’t circled would you most like to possess? Explain why.

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Which adults, including teachers, have influenced you the most, and how?

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What has been your most remarkable life experience? How has this shaped or influenced you?

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Your Post-Secondary Plans:

It is important to know WHY you want to pursue a post-secondary education. In considering your goals for that time, rank the following values from 1 (the most important to you) to 11 (the least important to you).

___ Provide me with a place to learn and study

___ Provide me with opportunities to interact with teachers in and outside of the classroom

___ Allow me to be with my friends

___ Prepare me to make a lot of money

___ Permit me to continue a particular extra-curricular interest. (e.g.: sport, fine arts, debating)

___ Allow me to better humankind

___ Prepare me for a career

___ Enable me to be more independent

___ Provide me with a variety of new experiences

___ Give me a degree from a prestigious school

___ Other (please specify) ______

(Adapted from: Steven R. Antonoff)

Using the lists below, please describe the type of undergraduate environment and degree program that you believe will provide the best fit in terms of your aptitudes, goals, and personal qualities. Feel free to check more than one choice.
Enrollment:
5 Very small (fewer than 1500)
5 Small (1500-10,000)
5 Medium-sized (10,000-20,000)
5 Large (more than 20,000)
5 No preference / Location:
5 Ontario
5 Another province
5 United Kingdom
5 United States
5 Elsewhere (please specify):
______
______
5 No preference
Environment:
5 Large city
5 Small city or suburban area
5 Small town or rural area
5 No preference / Program:
5 Business
5 Engineering/technology
5 Fine or performing arts
5 Humanities/social sciences
5 Liberal arts/arts & science
5 Science

List any post-secondary institutions which Please specify the reasons for these preferences,

are of interest to you at this stage. i.e.: programme, location, reputation, legacy,

campus visit, etc.

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Do you have a first choice among the schools you listed? If so, which one and why? (Please go beyond “reputation”.)

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If you are considering applying to a post-secondary institution outside Canada for undergraduate study (your first degree), please explain why.

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If you are considering applying to US colleges, what plan have you made for standardized test preparation? Which test are you planning to take (ACT or SAT)?

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Are you considering a Gap Year? If so, what might you like to do (e.g.: work, athletics, travel), and how do you think it will support your long-term goals?

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Describe your thoughts concerning a career.

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Describe the connection between this career and the following:

a. Natural strengths identified on Naviance Strengths Explorer (check your Naviance account to find these)

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b. Academic abilities and interests

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c. Extracurricular abilities and interests

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Do you have any particular questions or concerns that you would like to discuss at your first meeting with your university counsellor?

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Thank you for taking the time to answer these questions!

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