Please complete this form in the next few days and return it to the College Counseling Office. It will not only provide a valuable summary of significant information about you that is used to write your major recommendation required by all colleges, but it will also be used as the basis for forming your college list. THIS FORM MUST BE HANDED IN TO EITHER MRS. DUFFY OR MR. LEE WHEN MAKING YOUR SPRING APPOINTMENT. NOTE: This form is used by the College Office staff only and is not sent to colleges.

Name:
Parent/Guardian's Name(s):
Daytime phone #:
Address:

Parents' Colleges attended:
father:
mother:
siblings:

Personal Information:
1.(a) List the five adjectives or phrases you would choose to describe yourself.

(b) List the five adjectives or phrases that your friends might use to describe you.

2. What are your greatest academic -
Strengths?

Weaknesses?

3. What are your greatest personal -
Strengths?

Weaknesses?

Achievements?

Extracurricular Information
Extracurricular Activities: List all the activities, both school and non-school related. Indicated number of years of participation and level of accomplishment, if appropriate.

9th grade	10th grade	11th grade	12th grade (anticipated)

College Selection Data:

1. (a) List the college in which you are currently interested:

(b) What colleges do you consider as your "safety" schools?

2. Do you plan to apply to an early decision/action program?

	yes
	no
If so, to which college?
Application deadline is

3. Have you visited any college campuses? Which one(s)?

4. Jobs, careers or majors of possible interest to you:

5. Financial aid:

	Necessary
	Desirable, but not necessary
	Will not apply for financial aid

6. Have any of your relatives attended or received degrees from schools in which you are interested? If yes, list relative and school.

7. Are you the first person in your immediate family to attend college?

	yes
	no

8. Are you likely to be recruited by any college for a particular sport, musical ability or other talent? If so, what?

9. Do you think you may be eligible for any special scholarships? If so, what? (sports, arts, merit, cultural background, etc.)

10. Indicate your preference by checking the appropriate space in each category below:

Enrollment Size

	750 -1,500 small college		5,000 - 10,000 large college
	1,600 - 4,000 medium college		10,000 - + very large college

Public/Private

	Public
	Private

Possible Majors:

Locations - Regions

	New England		Midwest
	Middle Atlantic, DC		Southwest
	South		West

College Setting

	Medium city		Small town
	Large city		Suburbs
	Rural

Student Activities (Participate in College):

Student Publications	Radio Station	Television
Chorale Groups	Orchestra	Band
Theater	Dance
Fraternities	Sororities	Cultural Organizations
Other:
Sports: Please list sport and division level, if known

Special Programs/ Services (Participate in College):

Study Abroad	Cooperative Education	Remedial Programs
Honors Programs	Counseling	Services for Foreign Students
Independent Study/Student Designed Major
Placement/Credit for Advanced Placement Program
Services for learning disabled
ROTC	E.S.L
Other:

Cultural/ Ethnic/Gender/Religious Affiliation Preferences

	Historically Black Colleges		Single Sex Colleges
	Co-educational Colleges		Colleges with religious affiliations Please list preference:

11. What general or specific questions do you have about college selection and college admission that you would like answered or at least discussed at your college meeting?

12. Please write the name of your current English teacher.
Your junior English teacher will be writing a college recommendation for you at the end of the year. Please meet with him/her to discuss content. In addition, next year you will be required to ask a senior teacher of your choice to also write for you.

13. If you could start your high school career over, what would you change?

14. In the last four years, what was the most significant experience you have had? How do you feel it will affect the direction or choices you take or make in the future?

ESSAY/PARAGRAPH: You have asked teachers to write recommendations for you. Now write a college recommendation for yourself. Be specific; give details or anecdotes that give a clear picture of who you are.