College Student Questionnaire

Please take time to fill this out accurately. 

We will utilize this information in compiling a list of schools for you to consider.

Student Name *
Student Name
Phone Number *
Phone Number
If not applicable, leave blank.
What activities— clubs, sports, leadership, service, interests, have you participated in during all four years of high school? What recognition, honors or awards or points of personal pride stand out to you during each of these years? Be specific.
List specific courses and location of study. If not applicable, leave blank.
Paid employment during school or the summer? What job experiences have you had during the last two years? What were your responsibilities and your dates of employment? How many hours a week did you work?
Describe briefly your involvement with any groups and the dates of service. Note any recognition received.
What are your college choices at this time? Aim high, but be sure to include at least two schools to which you feel confident you are qualified for admission.
Please list.
Please list them, their relation to you, and the school.