Sample Student Information Sheet

Sample Student Information Sheet for Letters of Recommendation In order to write a recommendation letter for you, counselors and teachers need information that will be used solely and confidentially for that purpose. You benefit when they are able to provide a comprehensive academic and personal report. You'll need to have this same information for your college applications, so it will help you later as well. Please print neatly or type your responses. You may attach separate sheets as needed.

Student Name Nickname (if any) Phone E-mail

1. Test Score Information

ACT Date Verbal Math Sci Read Writing Comp Date Verbal Math Sci Read Writing Comp Date Verbal Math Sci Read Writing Comp SAT Date Critical Reading Math Writing Date Critical Reading Math Writing Date Critical Reading Math Writing

SAT Subject Test Date Subject Score SAT Subject Test Date Subject Score SAT Subject Test Date Subject Score SAT Subject Test Date Subject Score

Future Test Dates for SAT SAT Subject Test ACT

AP or IB Test Date Subject Score AP or IB Test Date Subject Score AP or IB Test Date Subject Score AP or IB Test Date Subject Score AP or IB Test Date Subject Score

Adapted from Admission Matters, by Springer, Reider, and Vining Morgan 1 of 3 2. Do your test scores and grades accurately reflect your academic potential? If not, explain why

3. Attach a copy of your transcript (for teacher recommendations only—your counselor already has your transcript). List any college courses taken during high school that are not included on your transcript.

Course Where taken Year Course Where taken Year Course Where taken Year

4. Attach a brief list of your extracurricular activities and achievements; academic honors and awards; hobbies, special interests, or talents; community service activities; and work experience.

5. Attach a copy of your draft college personal essay if it is completed, or answer, "What sets you apart as an individual?"

6. Ask your parent/guardian or a friend to write an anecdote that describes your character and attach it to this form. This should be about one paragraph long.

7. Where were you born? If not in the United States, at what age did you move to the

United States?

8. Do you speak more than one language? If so, list and indicate fluency.

9. With whom are you living? Underline: Mother Father Both parents Other

10. Will you be the first person in your immediate family to attend college?

11. Please tell us about your family. List your siblings, providing name, age, current school

and grade level, degrees, and/or occupation.

12. Parents’ or guardians' occupations and highest level of education completed

Father/Guardian Occupation Education level/degree Mother/Guardian Occupation Education level/degree

13. Do you have any significant travel experience? Describe, including dates.

14. Have you ever been suspended from school during 9–12 grades?

Adapted from Admission Matters, by Springer, Reider, and Vining Morgan 2 of 3 Sample Student Information Sheet for Letters of Recommendation If yes, when and for what reason?

15. Is there any significant, unique, or unusual experience, situation, or involvement that

you want to share?

16. List three adjectives that you feel best describe you and explain why.

17. List the colleges to which you are applying and the reason you are interested in attending. If you plan to apply early decision (ED) or early action (EA) please indicate that next to the name of the college.

College Reason

Please feel free to attach any other information that you believe would be helpful to those writing on your behalf.

Adapted from Admission Matters, by Springer, Reider, and Vining Morgan 3 of 3 Sample Student Information Sheet for Letters of Recommendation