<p> Email information or return to counselor before a recommendation is needed Yorktown High School STUDENT BRAG SHEET (Strictly for use by the counselor)</p><p>Name: Date of Birth: </p><p>Counselor: ______e-mail address: </p><p>1. High School(s) attended prior to YHS (list grade level(s) you were at each)</p><p>2. Where are you applying? List all colleges and note “1st choice” or “reach” or “safety” beside each: 1. ______4. ______2. ______5. ______3. ______6. ______</p><p>3. What is your planned college major? Where do you see yourself in 5 years?</p><p>4. Please list parent’s name, occupation, college attended if applicable.</p><p>5. Please indicate what outside extra-curricular activity you participate in that is most meaningful and how has your activity impacted your life? What have you learned from it? </p><p>6. Please describe your most rewarding summer experiences and / or plans for this summer: </p><p>7. CAREER THOUGHTS - At this time, what personal, educational, or vocational goals do you have in mind? What areas of study might you like to pursue in college? </p><p>8. ADJECTIVES List 3-5 adjectives that you, your family, or your friends would use to describe you. There are no tricks here, no right or wrong answers; we simply hope to get to know you.</p><p>1. 2. 3. 4. 5. </p><p>Student Response Form 8/09 Email information or return to counselor before a recommendation is needed</p><p>9. Which of your personal qualities would you like a college admission officer to know about? </p><p>10. Explain or describe a situation that would demonstrate a side of you that would be of interest to a college admission officer: </p><p>11. HODGE-PODGE Obviously there are no "right" or "wrong" answers to the following questions. We just thought your replies might help us to know you a little better.</p><p>Favorite book: Favorite keepsake: Favorite time of the day: </p><p>Favorite activity: Favorite academic subject: Favorite expression: </p><p>Favorite Websites: Favorite YHS teachers: </p><p>EXTRACURRICULAR ACTIVITIES & ATHLETICS Please list your in-school and out-of-school activities (Club, sport, volunteer experience) and the weekly time commitment. List leadership roles, or any special honors or distinction. Please keep this list updated by coming to the college office throughout the year to inform your counselor of any additions Year(s) Activity Your Hours per Participating (or Role/Office Week Award/Honor)</p><p>Student Response Form 8/09 Email information or return to counselor before a recommendation is needed</p><p>Please add any other information you feel would be important for you counselor to be aware of:</p><p>Student Response Form 8/09</p>