Name________________
Counselor_______________
The
information, which you provide in this questionnaire, can be of great
importance to your college planning. It may be used by your counselor in preparing
materials to be submitted to colleges in support of your application. Read the
questionnaire carefully and answer them thoughtfully and completely. Be honest
and realistic. Please free to continue on the back of these pages if additional
space is needed.
1. Work Experience
If you have
been employed on either a part - time or full - time basis during your high
school years or during the summers, please give dates and jobs held. Were any
of these jobs significant in helping you choose a career? Note any special
positions or responsibilities you had. Make sure to include the name of the
company, type of worked performed, dates of employment and hours per week.
2. Volunteer Service
List any
volunteer activities (with dates) in which you have been involved. How did you
participate?
|
Organization |
Activities/Description |
Dates & Hours |
3. Membership in Out-of-School Activities and Organizations (i.e., youth group, AAU
sports, Community involvement and so on).
|
Name of Organization/Activity |
Description |
Dates |
4. Extracurricular and
Personal Activities
Please list extracurricular, community and
family activities and hobbies in the order of their interest to you. For example,
musical instrument played, varsity letter earned. Please asterisk any activity
you hope you pursue in college.
|
Activity |
Grade/Year |
Hours/# of weeks |
Position Held |
In addition, briefly describe your involvement and any significant contribution that you may have made.
5. Awards
(i.e., academic, art, drama, music, industrial arts, sports, service, etc. Both
in and out of school).
6. Career Choices
If you have a career choice (definite or tentative), please list below. Be sure
to include how you became interested.
7. Special Circumstances
Please describe any special curcumstances that might have affected your high
school achievement, if applicable. Which strengths or weaknesses should be
explained?
8. Highlights!!!
What would you like your counselor to highlight in a description of you to be
sent to a college?
9. All Other
Nearly all applicants at a competitive college are qualified to be successful. Therefore,
acceptance of ten depends upon "extras" such as an unusual
artistic, athletic or musical talent; a hobby pursued in depth; leadership;
character or community service. What special talents, accomplishments or
characteristics do you have that might make you stand out? Don't be modest!