What is your full name, as it will appear on your application(s)?

What is your full address?

What is your date of birth?

If a social security number is required for your application, please include it with this request.

What is your intended major(s)?

What specific attributes do you have that would have you excel at your intended major?

What is your overall gpa? Weighted/Unweighted

What experience(s) did you have in my class(es) that demonstrate a positive characteristic or learning moment?

What extracurricular activities have your participated in?

What awards or recognition have your received?

What are three words that would characterize your best qualities?

What are three words that would characterize your worst qualities?

Please list the names, mailing addresses, and application deadlines of the colleges to which you are applying.

What is your email address?

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