| First and Last Name: | |
| Email Address: | |
| Provide five adjectives that describe yourself and explain why those words describe you. | |
| What do you consider your greatest personal strengths? | |
| What do you consider your greatest academic strengths? | |
| Please describe your current academic and career goals for the future. | |
| Please describe any factors related to any course grades that you would like colleges to be aware of. | |
| Please describe any factors that affected your admission test scores that you would like to address. (SAT, ACT, etc.) | |
| Please describe any circumstances in your life that might have had a negative impact on your school performance and how you learned from these circumstances and/or tried to overcome them. | |
| Describe an event or activity (positive or negative) that has had the most significant impact on your life. How has it shaped the person you are today? | |
| Describe an activity (club, sport, community service, job, organization, etc.) that has been the most meaningful to you and why? | |
| Describe your proudest academic accomplishment in school. | |
| Describe your proudest personal accomplishment in or outside of school. | |
| Please list activities you have been involved in and put them in order, starting with the most recent. | |
| School Related Activities: For the above list, please provide the date and grade level when you were a participant and specify the role you play(ed) in each activity (i.e. if you hold/held an office or had a specific responsibility). | |
| Non-School Related Activities: For the above list, please provide the date and grade level when you were a participant and specify the role you play(ed) in each activity (i.e. if you hold/held an office or had a specific responsibility). | |
| Awards and Honors: List the name of the award/honor, provide a brief explanation, and when you received it. |